Complete evulsion of the globe and optic nerve

Area of Science:

• Ophthalmology
• Neurology
• Trauma Surgery

Background:

• Orbital trauma can lead to severe ocular and neurological damage.
• Avulsion of the globe and optic nerve is a rare but devastating injury.

Observation:

• A 17-year-old male sustained a globe and optic nerve avulsion following an automobile accident.
• Computed tomography (CT) imaging revealed a complete severance of the optic nerve on the injured side.

Findings:

• The patient presented with complete vision loss in the affected eye.
• A contralateral visual field defect was identified in the uninjured eye, suggesting potential neurological involvement or spread of injury.

Implications:

• This case highlights the critical importance of advanced imaging in assessing severe orbital trauma.
• The contralateral visual field defect warrants further investigation into the mechanisms of injury and potential neuroprotective strategies.
• Prompt and comprehensive evaluation is essential for managing such complex traumatic injuries affecting vision.