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Globe luxation may prevent myopia in a child: A case report
1Department of Ophthalmology, The Second Affiliated Hospital of Anhui Medical University, Hefei 230001, Anhui Province, China.
World Journal of Clinical Cases
|June 6, 2022
Summary
Prompt surgical intervention for globe luxation in children can restore vision. This rare condition, occurring without orbital fractures, highlights the importance of timely treatment for visual recovery.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Trauma Surgery
Background:
- Globe luxation is a rare condition, often resulting from direct orbital trauma causing fractures and displacement into the maxillary sinus.
- Visual recovery in patients with globe luxation is infrequent.
Observation:
- A 6-year-old boy experienced globe luxation after a sudden deceleration event, notably without associated orbital or maxillofacial bony fractures.
- Surgical management included an external canthus incision, globe repositioning, orbital exploration, and temporary blepharoplasty.
Findings:
- The child achieved complete visual recovery and maintained good eyesight in the affected eye.
- The patient developed myopia in the contralateral eye four years post-injury.
Implications:
- This case underscores the critical role of immediate surgical intervention in managing pediatric globe luxation for optimal visual outcomes.
- Globe luxation might potentially mitigate myopia development by altering ocular dimensions and improving ciliary function.
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