UNIVERSITAS AIRLANGGA



Detail Article

Jurnal Oftalmologi Indonesia

ISSN 1693-2587

Vol. 7 / No. 4 / Published : 2010-12

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Original Article :

Traumatic globe subluxation

Author :

  1. Rozalina Loebis*1
  1. Department of Ophthalmology, Faculty of Medicine Airlangga University/Dr. Soetomo General Hospital, Surabaya

Abstract :

This is a case report of traumatic globe subluxation due to bicycle handlebar accident. A 7-year-old girl presented to the emergency room in acute distress due to anteriorly subluxated globe and sudden vision loss in her left eye following bicycle handlebar accident. On examination, visual acuity in the left eye was no light perception. Her left globe dislocated anteriorly, and the lids were tightly closed behind it. There was laceration in fornics conjunctiva, but no laceration was observed in cornea, sclera and extraocular muscles. There was diffuse superficial punctate keratitis. The pupil dilated and did not respond to light stimulation. Posterior segment examination revealed the presence of vitreous hemorrhage inferiorly. The optic nerve head was obscured by the overlying hemorrhage. Optic nerve avulsion was suspected. An ultrasound examination was performed and revealed suspicion of optic nerve avulsion. A CT Scan or MRI did not performed due to socioeconomic reason. In the acute event, immediate reduction of the globe is paramount. In a rare case like this we performed manually globe reduction with deep general anesthesia. Postoperative vision was no light perception, which remained unchanged during follow-up. Diffuse superficial punctate keratitis resolved completely. This case represents a rare case of traumatic globe subluxation and optic nerve head avulsion due to bicycle handlebar.

Keyword :

traumatic, globe subluxation,


References :

Rubin PAD, Watkins LM, Rumelt S,(1998) Orbital Computed Tomographic Characteristics of Globe Subluxation in Thyroid Orbitopathy - : Ophthalmlogy

Zeller J, Murray SB, Fisher J,(2007) Spontaneous Globe Subluxation in a Patient with Hyperemesis Gravidarum: A Case Report and Review of the Literature - : The Journal of Emergency Medicine

Johnson SM, vestal RY,(2003) Lateral Tarsorraphy for Prevention of Postoperative complications Resulting from Globe Luxation - : J Cataract Reffract Surg





Archive Article

Cover Media Content

Volume : 7 / No. : 4 / Pub. : 2010-12
  1. Visual Acuity Of Methanol Intoxicated Patiens Before And After Hemodialysis, Methylprednisolone And Prednisone Therapy
  2. Cutler Beard Technique For The Management Of Superior Palpebra Sebaceous Adenocarcinoma
  3. Long-term Used Of Benzalkonium Chloridepreservative Antiglaucoma Eye Drops (studies On The Expression Of Matrix-metalloproteinase-1 And Tissue Inhibitor Matrix Metalloproteinase-1)
  4. The Profile Of Tear Mucin Layer And Impression Cytology In Pterygium Patients
  5. Constraints And Supporting Factors To Access Free Cataract Surgery
  6. Correlation Between Blood Glucose Level And Hba1 C With Lens Thickness In Type 2 Diabetes Mellitus Patients
  7. Traumatic Globe Subluxation
  8. Awareness Of Subconjunctival Bleeding On Warfarin Therapy Patient
  9. Bilateral Optic Neuritis In Children Due To Multiple Sclerosis
  10. Bilateral Optic Neuritis In Children Due To Multiple Sclerosis

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