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[Bulbar dislocation].

D Schnober1, H W Meyer-Rüsenberg

  • 1Augenklinik am St.-Josefs-Hospital, Hagen.

Klinische Monatsblatter Fur Augenheilkunde
|November 1, 1991
PubMed
Summary
This summary is machine-generated.

Ocular globe luxation after trauma can be treated successfully. Prompt repositioning of the eye globe under anesthesia can restore vision and stereopsis, even with initial poor pupillary responses.

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Area of Science:

  • Ophthalmology
  • Trauma Surgery

Background:

  • Ocular globe luxation, or displacement of the eyeball, can result from trauma or occur spontaneously.
  • While historically associated with poor outcomes, recent literature is scarce.

Observation:

  • A four-year-old girl experienced ocular luxation following a bicycle accident.
  • The affected eye showed negative pupillary and consensual light reflexes.
  • Macular edema with a central red spot was noted post-reduction.

Findings:

  • The ocular globe was successfully repositioned under general anesthesia three hours after the trauma.
  • Despite initial concerns indicated by pupillary responses and macular edema, visual acuity and stereopsis normalized within four weeks.
  • This case supports the potential for visual recovery following ocular luxation.

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Implications:

  • Ocular globe luxation does not invariably lead to optic nerve avulsion and permanent blindness (amaurosis).
  • Prompt surgical intervention, specifically rapid repositioning of the globe, is crucial for preserving vision.
  • Early management can significantly improve patient prognosis in cases of traumatic ocular luxation.