Kwan Joo Ern Kevin, Muhammed Julieana, Amin Nurul Huda, Jameelah Safiyah
Ophthalmology, Universiti Sains Malaysia, Kota Bharu, MYS.
Ophthalmology, Melaka Hospital, Malacca City, MYS.
Cureus. 2024 Jan 29;16(1):e53150. doi: 10.7759/cureus.53150. eCollection 2024 Jan.
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. The left globe was not visualized, and only the left optic nerve stump was seen. A computerized tomography (CT) scan showed a left globe dislocated inferotemporal with discontinuity of the left optic nerve, inferior rectus, and lateral rectus muscle. There were also comminuted fractures at the floor and lateral wall of the left orbit with significant lateral displacement of the bone fragments. He underwent left eye enucleation, toilet, and suturing of the laceration wounds and open reduction internal fixation (ORIF) of the fractures. We report this case as it is not commonly seen in Malaysia.
与视神经撕脱相关的创伤性眼球脱位很少见。我们描述了一例42岁的印度男性患者，他遭遇了一场机动车事故（MVA）。他右侧鼻侧至左侧内眦区及左眼睑有一处深部撕裂伤。未见到左眼眼球，仅见左侧视神经残端。计算机断层扫描（CT）显示左眼球向下颞侧脱位，左侧视神经、下直肌和外直肌连续性中断。左侧眼眶底壁和侧壁也有粉碎性骨折，骨碎片有明显的侧向移位。他接受了左眼眼球摘除术、伤口清创缝合以及骨折切开复位内固定术（ORIF）。我们报告此病例，因为在马来西亚这种情况并不常见。
