Traumatic Globe Luxation and Optic Nerve Avulsion: A Case Report and Literature Review

Traumatic globe luxation associated with optic nerve avulsion is rare. We describe a case of a 42-year-old Indian gentleman who was involved in a motor vehicle accident (MVA). He sustained a deep laceration wound from the right side of the nose extending to the left medial canthal region and left ey...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-01, Vol.16 (1), p.e53150
Main Authors: Kwan Joo Ern, Kevin, Muhammed, Julieana, Amin, Nurul Huda, Jameelah, Safiyah
Format: Article
Language:English
Subjects:
Case reports
Fractures
Hematoma
Injuries
Medical imaging
Ophthalmology
Optic nerve
Otolaryngology
Prostheses
Sinuses
Sutures
Trauma
Vehicles
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Summary:Traumatic globe luxation associated with optic nerve avulsion is rare. We describe a case of a 42-year-old Indian gentleman who was involved in a motor vehicle accident (MVA). He sustained a deep laceration wound from the right side of the nose extending to the left medial canthal region and left eyelid. The left globe was not visualized, and only the left optic nerve stump was seen. A computerized tomography (CT) scan showed a left globe dislocated inferotemporal with discontinuity of the left optic nerve, inferior rectus, and lateral rectus muscle. There were also comminuted fractures at the floor and lateral wall of the left orbit with significant lateral displacement of the bone fragments. He underwent left eye enucleation, toilet, and suturing of the laceration wounds and open reduction internal fixation (ORIF) of the fractures. We report this case as it is not commonly seen in Malaysia.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.53150