A Complete Globe Dislocation without Orbital Wall Fracture

Abstract

Introduction: The complete globe dislocation is a rare type of trauma in clinical practice of ophthalmologists. Case Presentation: In this report, we present a case of complete globe dislocation with optic nerve avulsion caused by a fall onto a wooden chair edge. Interesting fact was that despite the complete avulsion of the optic nerve and total luxation of the globe, there was no orbital fracture. The report discusses characteristics of trauma and its surgical management. Conclusion: Even though the globe was completely dislocated with avulsion of optic nerve and five extraocular muscles the orbit was intact. Unfortunately, the magnitude of trauma warranted enucleation. The extent of the soft tissue damage and swelling precluded a primary orbital implant. In such cases, relatively early secondary surgery with an orbital implant may help reduce the negative psychological impact.