Traumatic Globe Luxation with Complete Optic Nerve Transection Caused by Heavy Object Compression

Acta Med Okayama. 2018 Feb;72(1):85-88. doi: 10.18926/AMO/55669.

Abstract

Traumatic eyeball luxation is a rare clinical condition with a dramatic presentation. Here, we describe a unique case of traumatic globe luxation and complete optic nerve transection caused by heavy object compression. A 45-year-old male automobile mechanic was injured when a truck slipped from its supports, crushing his head and face. On arrival, his right eyeball was obviously displaced anteriorly and he had no light perception. Computed tomography revealed complex frontal bone and facial fractures with underlying brain contusion in addition to complete transection of the right optic nerve. The patient was successfully treated using a multidisciplinary approach.

Keywords: facial trauma; globe luxation; optic nerve avulsion; traumatic brain injury.

Publication types

  • Case Reports

MeSH terms

  • Accidents, Occupational
  • Eye Enucleation
  • Eye Injuries / pathology*
  • Eye Injuries / surgery*
  • Facial Bones / pathology*
  • Facial Bones / surgery
  • Fractures, Bone / pathology
  • Fractures, Bone / surgery*
  • Frontal Bone / pathology
  • Frontal Bone / surgery
  • Humans
  • Male
  • Middle Aged
  • Optic Nerve Injuries / pathology*