J Korean Ophthalmol Soc.  2003 Oct;44(10):2434-2438.

A Case of Traumatic Globe Luxation

Affiliations
  • 1Department of Ophthalmology, Kyung Hee University Hospital, Korea.
  • 2Department of Ophthalmology, Gachon Medical College, Gil Medical Center, Korea. EYEDOC@hanmir.com

Abstract

PURPOSE
The globe luxation is a rare phenomenon in which there is a forward displacement of the eye ball so that the eye lids spasmodically close behind it. In Korea, no case has been reported. The authors experienced a case of globe luxation by laceration of the conjunctiva with trauma. METHODS: The authors experienced a case of globe luxation in 64-year-old male who had crushed with infantile marry-go-round handle and complained proptosis and ocular pain. Ocular examination revealed best corrected visual acuity of right eye 0.1, IOP 44mmHg, conjunctival hyperemia and laceration, extraocular muscle limitation in all direction. Exophthalmometer shows right eye 23mm, left eye 19mm. Orbital CT yielded proptosis and globe luxation without avulsion of internal and external rectus muscle and optic nerve.
RESULTS
After the lateral canthotomy, we successfully treated with the corticosteroid therapy without visual impairment or eyeball movement disorder. we report a case of globe luxation with the review of literature.

Keyword

Conjunctiva laceration; Globe luxation; Lateral canthotomy

MeSH Terms

Conjunctiva
Exophthalmos
Humans
Hyperemia
Korea
Lacerations
Male
Middle Aged
Movement Disorders
Optic Nerve
Orbit
Vision Disorders
Visual Acuity
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