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Traumatic Globe Subluxation Accompanied by Traumatic Optic Neuropathy.

Woojin Kim1, Sungwon Yang2, Jinhwan Park1

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A traumatic eye injury caused proptosis and vision loss. Emergency surgery relieved optic nerve compression, but vision loss persisted, indicating potential optic nerve damage from the trauma.

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Area of Science:

  • Ophthalmology
  • Trauma Surgery

Background:

  • Periorbital trauma can lead to serious ocular complications.
  • Prompt diagnosis and intervention are crucial for managing traumatic optic neuropathy.

Observation:

  • A 52-year-old woman presented with left eye proptosis, decreased vision, and pupillary abnormalities after alcohol-intoxicated trauma.
  • CT revealed left optic nerve extension and retrobulbar hemorrhage, with limited eye movement.

Findings:

  • Emergency lateral canthotomy and cantholysis successfully reduced proptosis and repositioned the eyeball.
  • Post-surgery, proptosis resolved, but the patient retained loss of light perception and relative afferent pupillary defect.

Implications:

  • Surgical decompression can alleviate proptosis and retrobulbar pressure in traumatic optic neuropathy.
  • Persistent vision loss despite surgical intervention highlights the severity of optic nerve injury in such cases.