Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2024, Vol. 38 ›› Issue (2): 109-112.doi: 10.6040/j.issn.1673-3770.0.2023.076

• Original Article • Previous Articles     Next Articles

Traumatic dislocation of the eyeball with optic nerve transection: a case report and literature review

ZHANG Yiran, HUANG Jingyi, LIN Tao, LIU Hui, DENG Ling, PAN Yingzhe   

  1. Department of Ophthalmology, Xiangyang NO.1 People's Hospital, Hubei University of Medicine, Xiangyang 441000, Hubei, China
  • Online:2024-03-20 Published:2024-03-29

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Abstract: Objective To report the clinical characteristics and diagnosis and treatment of a patient with traumatic total dislocation of the eyeball combined with optic nerve rupture and to explore the treatment options for dislocation of the eyeball. Methods A patient with total dislocation of the right eye and complete disconnection of the optic nerve due to trauma was treated in the emergency department. The patient's right eye was treated with repayment of total dislocation, lateral canthus incision, eye exploration, extraocular muscle suture, debridement, and eyelid laceration suture to restore the eyeball. The patient's right eye was then further treated with amniotic membrane covering, corneal debridement, and eyelid laceration to promote corneal repair. Results After surgery, the eyeball was repositioned, and the cornea healed well. There were no complications in the follow-up 6 months after surgery. The patient was satisfied with the treatment results. Conclusion Patients with dislocation of the eyeball should be treated in time, and the surgical plan should be formulated according to the specific situation. Although patients with complete dislocation do not have the possibility of vision recovery, retaining the eyeball may be a better option considering the psychological burden of the patients.

Key words: Eyeball dislocation, Optic nerve transection

CLC Number: 

  • R779.1
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[1] LIU Hongxia, WANG Shaopeng, LU Hui, GAO Lifen. A case of traumatic eyeball removal into the maxillary sinus [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 169-170.
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