Chonnam Med J.  2005 Dec;41(3):298-301.

A Case of Traumatic Eyeball Extrusion

• Yoon KC
• Heo H
• Park SW
• Park YG
• Kim HY

Abstract

To report the management of a patient who had traumatic eyeball extrusion with avulsion of the optic nerve and all extraocular muscles except lateral rectus. 18-year-old woman presented with the eyeball extrusion of the left eye after trauma. There were laceration of upper eyelid, eyeball extrusion with avulsion of the optic nerve and all extraocular muscles except lateral rectus. In the orbital CT, there were multiple facial bone fractures, medial, lateral and inferior orbital wall fractures in both orbit. At six weeks follow-up, The patient had enophthalmos of 3 mm and improvement of eyeball movement at all gaze except mild limitation at extreme gaze. At six months after surgery, a prosthesis fits well with the left eye without prominent enophthalmos or infections. In a case of post-traumatic eyeball extrusion with orbital complex fracture, we could obtained good result with the reduction of the eyeball without enucleation.

Keyword

Eyeball extrusion; Optic nerve avulsion; Trauma

MeSH Terms

Adolescent
Enophthalmos
Eyelids
Facial Bones
Female
Follow-Up Studies
Humans
Lacerations
Muscles
Optic Nerve
Optic Nerve Injuries
Orbit
Prostheses and Implants