Traumatic Luxation of the Eye Ball with Optic Nerve Transection Following Road Traffic Accident: Report of Two Cases and Brief Review of Literature

Keywords: globe luxation, optic nerve avulsion, road traffic accidents, trauma

Abstract

Background: 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.

Case: 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.

Conclusion: 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.

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Author Biographies

Narayani Roka, Neuro Cardio and Multi Speciality Hospital, Biratnagar, Nepal

Consultant Ophthalmologist, Department of Ophthalmology and Neurosurgery

Yam Bahadur Roka, Neuro Cardio and Multi Speciality Hospital, Biratnagar, Nepal

Senior Consultant Neurosurgeon, Department of Ophthalmology and Neurosurgery

Published
2018-12-31
How to Cite
Roka, N., & Roka, Y. (2018). Traumatic Luxation of the Eye Ball with Optic Nerve Transection Following Road Traffic Accident: Report of Two Cases and Brief Review of Literature. Nepalese Journal of Ophthalmology, 10(2), 196-202. https://doi.org/10.3126/nepjoph.v10i2.20031
Section
Case Reports