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Luxated Globe at Birth-A Vision-Threatening Emergency.

JAMA Ophthalmol

November 2024

Department of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, University of São Paulo, School of Medicine of Ribeirão Preto, São Paulo, Brazil.

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Traumatic globe luxation associated with optic nerve avulsion is rare. We describe a case of a 42-year-old Indian gentleman who was involved in a motor vehicle accident (MVA). He sustained a deep laceration wound from the right side of the nose extending to the left medial canthal region and left eyelid.

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A care algorithm for partial globe subluxation cases with optic nerve and at least one extraocular muscle (EOM) transection is presented after a literature review was performed using key term variations of globe, ocular, subluxation, optic nerve evulsion or transection, and trauma. Partial globe subluxation cases with transection of the optic nerve and at least 1 EOM were included. Exclusion criteria included globe rupture, complete enucleation defined by a globe without at least 1 EOM attachment, or unclear details confirming optic nerve transection.

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Ocular injury is one of the most important causes of vision loss. We present a case series of different ocular trauma cases with rare presentations which presented a great challenge to emergency management. The management of ocular injuries is a fight against time, with not only the vision but also at times present with the life of patients at risk.

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Globe luxation may prevent myopia in a child: A case report.

World J Clin Cases

May 2022

Department of Ophthalmology, The Second Affiliated Hospital of Anhui Medical University, Hefei 230001, Anhui Province, China.

Background: Globe luxation is rare and is mostly due to direct orbital trauma with fractures of the medial and floor walls, which displace the globe into the maxillary sinus. Only a few cases have been reported; moreover, patients who suffer global luxation rarely achieve eyesight recovery.

Case Summary: This report describes the treatment and prognosis of global luxation occurring in a child.

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