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Traumatic Eyeball Luxation: A stepwise approach to Globe Salvage
EP29676
Poster Title: Traumatic Eyeball Luxation: A stepwise approach to Globe Salvage
Submitted on 05 Feb 2019
Author(s): Varun Sarodaya, Himika Gupta, Shrikant Deshpande, Srivalli Nataranjan
Affiliations: MGM Medical College and University
This poster was presented at 7th National Conference of Indian Association of Traumatology & Critical Care
Poster Views: 383
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Poster Information
Abstract: BACKGROUND: To report a case of traumatic globe luxation following road traffic accident which was managed successfully with globe reposition and fracture repair. To highlight a stepwise approach to achieve globe salvage in such case scenarios. AIMS AND OBJECTIVES: To report a case of traumatic eyeball luxation and severe craniofacial injury with the successful preservation of the prolapsed blind eyeball.

METHODS: A 21-year male presented with a motor vehicle accident, orbital roof blow-in fracture, cerebrospinal fluid (CSF) leak & left sided globe luxation with corneal abrasion and complete conjunctival denuding. The patient was managed by a multispecialty team & the eyeball was protected by amniotic membrane graft(AMG) biological dressing with use of inverted sterile metallic bowl as mechanical protection till patient stabilized. During surgery, the eyeball was reposited & ocular surface was reconstructed using an amniotic membrane and symblepharon ring. Surgical correction and plating of the facial fractures and dural repair with autologous tensor fascia lata was done.

RESULTS: Post surgery ocular surface was intact, ocular motility was well preserved and the globe was pre- phthisical.

CONCLUSION: Traumatic eyeball luxation is rare, but dramatic presentation which may occur in a blow-in fracture when the intraorbital volume reduces and expels the eyeball out of the socket. This may be associated with extraocular muscle rupture or optic nerve avulsion. The visual prognosis is nil in majority cases. The management is targeted at globe preservation for psychological benefit and ease of cosmetic or prosthetic rehabilitation. A stepwise approach for globe salvage is recommended. Team efforts to take care of various morbidities with special steps to safeguard the eye help to optimize KEYWORDS: Traumatic eyeball luxation, blow in orbital fractures,
amniotic membrane graft for ocular surface, globe reposition
Summary: A 21-year male presented with a motor vehicle accident, orbital roof blow-in fracture, CSF leak & left sided globe luxation and complete conjunctival denuding. The eyeball was protected by amniotic membrane graft(AMG) biological dressing. During surgery, the eyeball was reposited & ocular surface was reconstructed using an amniotic membrane and symblepharon ring. Surgical correction and plating of the facial fractures and dural repair with autologous tensor fascia lata was done.Report abuse »
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