Complete Traumatic Luxation of the Eyeball.

Area of Science:

• Ophthalmology
• Radiology
• Trauma Surgery

Background:

• Road traffic accidents can cause severe facial and orbital trauma.
• Complete globe luxation is a rare but devastating ophthalmic emergency.

Observation:

• A 35-year-old male presented with vision loss and eyelid swelling after trauma.
• Ophthalmic examination revealed an absent globe within the orbit and a palpable mass.
• Non-contrast computed tomography (NCCT) demonstrated extensive orbital fractures and the luxated eyeball beneath the temporalis muscle.

Findings:

• The NCCT clearly delineated comminuted orbital wall fractures and a zygomatic bone fracture.
• Virtual reality reconstruction confirmed a supero-temporal orbital defect capable of housing the eyeball.
• The luxated eyeball was identified inferior to the temporalis muscle, detached from orbital structures.

Implications:

• Computed tomography is crucial for diagnosing and localizing globe luxation.
• Detailed imaging guides surgical planning and improves outcomes in orbital trauma.
• This case highlights the utility of advanced imaging in managing complex ocular emergencies.