Post-traumatic eyeball luxation

Munayco-Guillen F.; Muro-Mansilla P.; Velasco-Stoll J.; Zavala-Loayza J.A.; Camara-Reyes R.R. · Revista Mexicana de Oftalmologia (2020) · DOI: 10.24875/rmoe.m20000098

Resumen

Eyeball luxation is an uncommon complication of high-impact trauma to the face, orbit; or skull. This is the case of a 20-yea-rold male who suffered an accident while driving a motorcycle drunk. He points out that he hit his face and his right eye. He denies losing consciousness, but he notices sudden loss of vision in the right eye. Physical examination revealed eyeball luxation from the orbit, with disinsertion of the medial and inferior rectus muscle. Visual acuity was no light perception in his right eye. He has a history of craniotomy due to a prior head injury 4 years ago. A computed tomography showed eyeball absence in the right orbit, without fracture or cerebral edema. In the operating room, an eyeball luxation was confirmed, with partial section of the extraocular muscles and complete avulsion of the optic nerve. We describe several mechanisms that may explain the eyeball luxation.

Instituciones: Universidad Peruana Cayetano Heredia; Universidad Nacional San Luis Gonzaga; Universidad de San Martín de Porres