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Eye Popping Disease: Common Characteristics and Management of Spontaneous Globe Subluxation
Scott T Jones1, Son T Ho, Babak Maleki
1From the *Department of Ophthalmology, Tulane Health Science Center, Tulane University, New Orleans, LA; and †Department of Ophthalmology, Dalhousie University, Halifax, Nova Scotia, Canada.
Purpose:
The objective of this study was to describe the clinical features, predisposing factors, and management of 8 new cases of spontaneous globe subluxation (SGS) and provide a review of the relevant literature.
Design:
Patient demographics, clinical presentations, investigations, management, complications, and outcomes were measured.
Methods:
This was a retrospective, case-note analysis of 8 patients with SGS and a major review of the English-language literature.
Results:
Eight new cases of spontaneous globe subluxation were identified with varying clinical manifestations and treatments. Literature review has shown less than 50 cases. Space-occupying lesions such as thyroid eye disease, shallow orbits, and floppy eyelids were major contributors to predisposition to SGS.
Conclusions:
Orbital congestion, shallow orbits, and floppy eyelids can all play a role in predisposing patients to SGS. Successful surgical management of SGS, when required, should be tailored to the individual patient profile for best results.
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