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Singh M, Singh Jassi A, Kaur M, Gupta P. Complete Traumatic Luxation of the Eyeball. JOVR [Internet]. 2021Oct.25 [cited 2024Jul.17];16(4):688–690. Available from: https://knepublishing.com/index.php/JOVR/article/view/9760

https://doi.org/10.18502/jovr.v16i4.9760

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authors

  • Manpreet Singh

    Manpreet Singh

    Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  • Amandeep Singh Jassi

    Amandeep Singh Jassi

    Department of Radiodiagnosis, Accuscan Diagnostic Centre, Mohali, Punjab, India
  • Manpreet Kaur

    Manpreet Kaur

    Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  • Pankaj Gupta

    Pankaj Gupta

    Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Published Date

  • Oct 25, 2021
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

Complete Traumatic Luxation of the Eyeball

Journal of Ophthalmic and Vision Research (JOVR) / October–December 2021, Volume 16, Issue 4 / Pages 688–690

Abstract

Purpose: To report the computed tomography features of a case with complete luxation of the globe after a road traffic accident.


Case Report: A 35-year-old male presented with pain, loss of vision, and bleeding from the left eye 48 hr after a road traffic accident. The ophthalmic examination of the left upper and lower eyelids showed edema with subcutaneous hematoma, crepitus, and complete blepharoptosis. On retracting the eyelids, the left eyeball was not visible and the patient was not able to perceive light. The left temporal region appeared filled with a soft, palpable globular structure situated beneath the temporalis muscle. A non-contrast computed tomography (NCCT) of the head and orbits showed a comminuted and displaced fracture of the floor, medial, and lateral orbital walls in addition to a displaced tripod fracture of the left zygomatic bone. The intact left eyeball was seen below the temporalis muscle without any optic nerve or extraocular muscle attachment. The virtual reality reconstruction highlighted a contributory supero-temporal defect in the bony orbit, which appeared large enough to accommodate the intact eyeball.


Conclusion: The computed tomography of the orbits provided a detailed location of the luxated eyeball and provided guidance in further management of the case.

Keywords:

Eyeball Displacement, Globe Luxation, Globe Subluxation, Ocular Trauma, Ophthalmic Trauma

References
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