Traumatic Globe Luxation after Blunt Trauma A Case

Traumatic Globe Luxation after Blunt Trauma: A Case Report Rani Himayani, MD , Helmi Ismunandar, MD Medical Faculty of Lampung University Abdul Moeloek Teaching Hospital Lampung, Indonesia Contact : rani. himayani@fk. unila. ac. id ABSTRACT Results : Purpose : To report management of a traumatic globe luxation after blunt trauma. Traumatic Luxation of the eye globe is a rare occasion but it carries a risk of threat to permanent vision loss. Appropriate intervention should be undertaken instantly Method : A case report a 8 -year-old girl was referred with a protrusion the globe after blunt trauma by door handle approximately three hours before come to emergency departement hospital. Visual acuity for the right eye and left eye was 20/20. Patient taken for urgently surgery under general anesthesia to reposit the protruded eyeball, lateral canthotomy was done, orbital exploration with inserted the finger. Reposition the globe with the help of a cotton tip applicator while gently pushing the globe back into place. Central tarsorrhaphy was done which was releases after 1 week. After 15 days post operatively the globe was inposition, with good ocular movement and visual acuity of the left eye 20/20. Picture 3. POD 1 Post Reposit The Protruded Eyeball Picture 4. POD 1 Weeks Post Reposit The Globe Luxation back into place Conclusion : Picture 1. Protrusion The Globe was Caught Tightly by The Closed Lids Picture 2. A CT-Scan Orbital Head Examination Showed Complete The Protrusion Of The Left Globe with Intact Orbital Walls, The Optic Nerve And Extraocular Muscle Did Not Show Any Avulsion In this patient early intervention with globe repositioning led to prevention complication of optic disc damage and can be a key factor to regain good vision.