Roka Narayani, Roka Yam Bahadur
Neuro Cardio and Multi Speciality Hospital, Biratnagar, Nepal.
Nepal J Ophthalmol. 2018 Jul;10(20):196-202. doi: 10.3126/nepjoph.v10i2.20031.
Traumatic luxation of the eye ball is rare with only 106 cases reported in PubMed till date. The anatomic location of the eyeball within the socket and the resilience of the globe to pressure force, attachment to extraocular muscles and optic nerve prevents luxation during trauma.
Road traffic accidents (RTA) is the most common cause for these injuries and the outcome can vary from complete recovery on repositioning to visual loss due to globe perforation or optic nerve injury. We report two unique cases of traumatic right globe luxation and complete optic nerve transection due to RTA and give a brief review of literature.
RTA leading to eye ball luxation though rare can be a challenging situation when encountered. Given the limited time for the salvage of the eye early intervention is not always possible especially in developing countries where there is delay in reaching the hospital. Despite all these confounding factors attempt must be made to salvage the eye either for functional, cosmetic or psychological reasons.
眼球外伤性脱位较为罕见，截至目前，PubMed上仅报道了106例。眼球在眼眶内的解剖位置、眼球对压力的弹性、与眼外肌和视神经的附着，使得其在创伤时不易脱位。
道路交通事故（RTA）是这些损伤最常见的原因，其结果从复位后完全恢复到因眼球穿孔或视神经损伤导致的视力丧失不等。我们报告了两例因道路交通事故导致的右侧眼球外伤性脱位及完全性视神经横断的独特病例，并对相关文献进行简要综述。
尽管因道路交通事故导致眼球脱位的情况罕见，但一旦遇到，可能是一个具有挑战性的情况。鉴于挽救眼球的时间有限，早期干预并不总是可行的，尤其是在发展中国家，患者到达医院会有延迟。尽管存在所有这些混杂因素，但出于功能、美容或心理原因，必须尝试挽救眼球。
