Traumatic Luxation of the Eye Ball with Optic Nerve Transection Following Road Traffic Accident: Report of Two Cases and Brief Review of Literature

Roka, Narayani; Roka, Yam Bahadur

doi:10.3126/nepjoph.v10i2.20031

Cited by 6 publications

(4 citation statements)

References 15 publications

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“…Song and Carter described abrupt deceleration as a cause of globe luxation. 6,7 In the present case series, case 1, the patient i.e. live donor had severe ocular injury that the eye was unsalvageable.…”

Section: Discussionmentioning

confidence: 69%

Live eye donor - two rare cases in two different situations

Sharma

Gupta²,

Sharma³

et al. 2021

IJOOO

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The promotion of eye donation has always been a challenging task for any individual or institute, and hence there is more demand and less supply of corneal tissue. Legally corneal donations are usually cadaveric allograft. But living eye donation though rare is sometimes done. We report two rare cases in which the cornea of the first case was retrieved from living donor, who had traumatic expulsion of right eye in road traffic accident. So the cornea of this living donor after enucleation of globe was utilized to restore the vision of another corneal blind person. The second case was a patient with failed keratoplasty left eye who was managed by taking graft from his other eye having glaucomatous optic atrophy.

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Section: Discussionmentioning

confidence: 69%

Live eye donor - two rare cases in two different situations

Sharma

Gupta²,

Sharma³

et al. 2021

IJOOO

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“…Many theories have been proposed like the hydraulic or buckling theory, medial penetration theory of Morris, orbital fractures reducing the orbital space, sudden deceleration force, sudden rise of intraocular pressure, and direct traction on the eye ball. 7,8 In a study by Amaral et al most cases of traumatic globe luxation could be found in patients who had suffered traffic accidents (52.9%), followed by falls (8.8%), hitting (5.9%), and assaults (5.9%). Other causes accounted for the remaining cases (26.5%).…”

Section: Discussionmentioning

confidence: 98%

Traumatic avulsion of the eyeball: a case report

2020

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Ocular trauma is very common, but globe avulsion along with optic nerve avulsion is a rare clinical event. Blunt trauma during a road traffic accident can cause rupture or avulsion of the globe and the outcome can range from complete recovery on repositioning to visual loss because of globe perforation or optic nerve injury. Here, authors report a case of a 20-year-old male who presented with history of a road traffic accident causing severe facial injuries. The physical examination revealed oedema and ecchymoses over the right side of the face with avulsion of the right eyeball anteriorly outside the orbit along with avulsion of the optic nerve. The visual acuity in the injured eye was no perception of light and the direct pupillary response was absent. Computed tomography revealed fracture of the roof and lateral wall of the right orbit. As the eye was not salvageable, enucleation surgery was done. Insertion of an ocular prosthesis for rehabilitation was planned. The presentation, investigations, surgery and follow-ups are described.

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“…In the ED, TGS may present following high energy motor vehicle accidents and can also be seen when someone grips the eyeballs during a ght, or secondary to birth trauma with compression of the cranium. [14][15][16][17][18][19][20][21][22] The pathogenesis of SGL is not fully elucidated. However, different pathological processes and risk factors have been reported.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Globe Subluxation: A Case Report And Review Of The Literature

Yadete

Isby

Patel

et al. 2021

Preprint

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BackgroundSpontaneous globe subluxation (SGS) is an atraumatic anterior dislocation of the eyeball. It is exceedingly rare. Understanding SGS predisposing factors may help uncover its etiology and undertake vision-saving management.Case presentationA 48-year-old female presented to the ED with her right eye out of its socket. She reports blurry vision, photophobia, and pain in the affected eye. She was unable to close her right eyelid and was in obvious distress. On arrival, her blood pressure was elevated. Her medical history was notable for hypertension and obesity. On physical examination, extraocular eye movements were not intact, and the globe appeared whole and round. She was also unable to count fingers with the affected eye. There was no visible trauma to the face. Multiple wet gauzes with sterile saline were placed over the displaced eyeball. Direct and even pressure was applied on the globe. Within thirty seconds, the globe was reduced back in. The patient was able to close her eyelids and reports substantial pain relief with reduction. A CT scan of the orbits was then obtained, demonstrating mild bilateral proptosis. The globes were normal and symmetric. No intraconal or extraconal abscess or infection was seen. There were no intraconal or extraconal masses. There was no acute orbital traumatic injury, no avulsion of the optic nerve, ocular rupture, or retrobulbar hematoma. After reviewing the case with an ophthalmologist, a follow up appointment with the ophthalmologist was arranged. The patient was discharged on erythromycin ointment. Post-discharge investigation of the CT imaging revealed dilated optic nerve sheaths, tortuosity of the optic nerve, and empty sella. ConclusionsIn addition to causing distress and severe anxiety, SGS poses numerous immediate as well as long-term complications. Traction of the optic nerve and retinal vasculature may potentially cause retinal venous congestion and loss of visual acuity with potential vision loss. In the absence of known risk factors or disease processes, orbital imaging and serological studies for thyroid ophthalmopathy should be considered.

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Traumatic Luxation of the Eye Ball with Optic Nerve Transection Following Road Traffic Accident: Report of Two Cases and Brief Review of Literature

Cited by 6 publications

References 15 publications

Live eye donor - two rare cases in two different situations

Live eye donor - two rare cases in two different situations

Traumatic avulsion of the eyeball: a case report

Spontaneous Globe Subluxation: A Case Report And Review Of The Literature

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