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Bilateral traumatic globe luxation with optic nerve transection.

Levent Tok1, Ozlem Yalcin Tok1, Tugba Cakmak Argun1

  • 1Department of Ophthalmology, Faculty of Medicine, Süleyman Demirel University, Isparta, Burdur, Turkey.

Case Reports in Ophthalmology
|January 22, 2015
PubMed
Summary
This summary is machine-generated.

This case study details a patient with bilateral globe luxation and optic nerve transection after a car accident. Despite globe repositioning, severe complications like phthisis bulbi developed, highlighting risks of optic nerve damage.

Keywords:
Optic nerve avulsionOptic nerve transectionOrbital traumaTraumatic globe luxation

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Area of Science:

  • Ophthalmology
  • Trauma Surgery

Background:

  • Bilateral globe luxation is a severe ocular emergency often resulting from significant trauma.
  • Optic nerve transection can occur concurrently, leading to profound vision loss.

Observation:

  • A 25-year-old female sustained bilateral traumatic globe luxation and Le Fort II facial fractures in a motor vehicle accident.
  • Initial examination revealed no light perception, dilated pupils, and intact globes.
  • CT scan confirmed bilateral optic nerve transection and extraocular muscle disruption.

Findings:

  • Globes were successfully repositioned, but the patient developed right-sided phthisis bulbi (atrophy of the eyeball) by month 3.
  • Complete optic nerve dissection and associated facial trauma complicated management.

Implications:

  • Globe luxation, especially with optic nerve transection, carries a high risk of severe visual impairment and ocular complications.
  • Even with successful globe repositioning, ischemic complications like phthisis bulbi remain a significant concern.
  • This case underscores the need for prompt, comprehensive management of traumatic globe luxation and associated injuries.