Spontaneous globe luxation associated with shallow orbits and floppy eyelid syndrome

Spontaneous globe luxation is a rare and distressing phenomenon. We report three cases which characterise the aetiology of spontaneous anterior globe luxation in the presence of a shallow orbital configuration and lax eyelids. All patients suffered from floppy eyelid syndrome (FES). Orbital imaging revealed no orbital masses and normal extraocular muscles. Shallow orbits with significant globe projection was noted. There was no clinical, radiological or serological evidence of thyroid ophthalmopathy. In this group of patients, the aetiology of spontaneous globe luxation is likely to be contingent on both shallow orbits and lax eyelids. The different treatment options for this condition are considered.