Traumatic Globe Subluxation
ABSTRACT: This is a case
report of traumatic globe subluxation due to bicycle handlebar accident. A
7-year-old girl presented to the emergency room in acute distress due to anteriorly subluxated globe and sudden vision
loss in her left eye following bicycle
handlebar accident. On examination, visual acuity in the left eye was no light
perception. Her left globe dislocated anteriorly, and the lids were tightly
closed behind it. There was laceration in fornics conjunctiva, but no
laceration was observed in cornea, sclera and extraocular muscles. There was
diffuse superficial punctate keratitis. The pupil dilated and did not respond
to light stimulation. Posterior segment examination revealed the presence of
vitreous hemorrhage inferiorly. The optic nerve head was obscured by the
overlying hemorrhage. Optic nerve avulsion was suspected. An ultrasound
examination was performed and revealed suspicion of optic nerve avulsion. A CT
Scan or MRI did not performed due to socioeconomic reason. In the acute event,
immediate reduction of the globe is paramount. In a rare case like this we
performed manually globe reduction with deep general anesthesia. Postoperative
vision was no light perception, which remained unchanged during follow-up.
Diffuse superficial punctate keratitis resolved completely. This case
represents a rare case of traumatic globe subluxation and optic nerve head
avulsion due to bicycle handlebar.
Penulis: Rozalina Loebis
Kode Jurnal: jpkedokterandd100025
