Post-traumatic Anterior Globe Luxation Case Report
DOI:
https://doi.org/10.62856/djcro.v10.85Abstract
Background:
Post-traumatic anterior globe luxation is an exceptional ophthalmic emergency characterized by anterior displacement of the globe beyond the palpebral fissure, often associated with devastating optic nerve and orbital injuries. Most cases follow high-energy trauma and require complex surgical management.
Case Presentation:
A 28-year-old man presented to CHU Mohammed VI (Agadir, Morocco) with traumatic globe luxation after a finger assault beneath the superior orbital rim. The left globe was incarcerated posteriorly behind markedly edematous eyelids with visual acuity 1/10 (LogMAR 1.0), profoundly limited motility, conjunctival chemosis, and intraocular pressure 20 mmHg. Slit-lamp and fundus examinations revealed no open-globe injury or optic nerve damage. Under topical anesthesia, manual reduction was performed using a Desmarres lid retractor to disengage edematous eyelids while applying gentle posterior-inferior pressure on the globe (Figures 1-3). Post-reduction treatment included oral prednisone 1 mg/kg/day × 5 days and topical antibiotic-steroid therapy × 10 days.
Results:
Within 48 hours, pain resolved completely, intraocular pressure normalized to 14 mmHg, motility markedly improved, and visual acuity recovered to LogMAR 0.0 (10/10). At 1-month follow-up, the patient had normal ocular examination with no sequelae.
Conclusions:
When optic nerve function is preserved, prompt manual eyelid disengagement and globe reduction under topical anesthesia represent a simple, effective approach yielding excellent visual and anatomical outcomes. Rapid intervention minimizes ischemia and secondary corneal damage, emphasizing the value of conservative management in selected traumatic globe luxation cases.
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