AOR
Archives of Ophthalmological Research

The Archives of Ophthalmological Research aims to publish issues related to publish articles of the highest scientific and clinical value at an international level, and accepts articles on these topics. The target audience of the journal included specialists and physicians working in ophthalmology, and other health professionals interested in these fields.

eISSN: 3023-6479
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Case Report
Beyond the fracture: documenting a unique case of total globe dislocation in orbital trauma
Abstract
A 62-year-old woman presented to the emergency department following blunt trauma to the right orbital region caused by an impact from a cow horn. Ophthalmologic examination revealed the absence of the globe and no light perception. Computed tomography scans showed dislocation of the globe into the maxillary sinus and fracture of the upper orbital wall. A multidisciplinary surgical approach was used, during which the globe was manually repositioned into the orbit and the lower orbital wall was repaired with polyethylene mesh. Postoperative examination on the first postoperative day showed signs of early stage ocular ischemic syndrome. On long-term follow-up, ptosis and enophthalmos were observed and the absence of light perception, which was thought to be due to optic nerve damage, persisted. Anterior segment examination revealed cataract formation and diffuse iris atrophy. Eye movements were severely restricted in inferior and lateral gaze and esotropia was observed in primary position. This case highlights the rarity of severe globe dislocation as a complication and emphasizes the critical importance of early surgical intervention as timely diagnosis and immediate repositioning are essential for visual recovery in the absence of optic nerve damage.

Keywords : Orbital blow-out fracture, globe dislocation, anterior ischemic syndrome

Download Article


1. Bastos RM, Taparello C, Tres R, Sawazaki R. Orbital blowout fracture with globe displacement into the maxillary sinus: a case report and literature review. J Oral Maxillofac Surg. 2021;79(1):204.e1-204.e12. doi: 10.1016/j.joms.2020.09.034
2. Kreiner B, Amer R, Sharfi G, Solomon A, Ilsar M. Traumatic displacement of the globe into the paranasal sinuses: case report and guidelines for treatment. J Oral Maxillofac Surg. 2008;66(4):826-830. doi:10.1016/j.joms.2007.08.048
3. Müller-Richter UD, Kohlhof JK, Driemel O, Wagener H, Reichert TE. Traumatic dislocation of the globe into the maxillary sinus. Int J Oral Maxillofac Surg. 2007;36(12):1207-1210. doi:10.1016/j.ijom.2007.05.017
4. Amaral MB, Nery AC. Traumatic globe dislocation into the paranasal sinuses: Literature review and treatment guidelines. J Craniomaxillofac Surg. 2016;44(5):642-647. doi:10.1016/j.jcms.2016.01.028
5. Haggerty CJ, Roman P. Repositioning of a traumatically displaced globe with maxillary antrostomy: review of the literature and treatment recommendations. J Oral Maxillofac Surg. 2013;71(11):1915-1922. doi: 10.1016/j.joms.2013.07.002
6. Saleh T, Leatherbarrow B. Traumatic prolapse of the globe into the maxillary sinus diagnosed as traumatic enucleation of the globe.Eye (Lond). 1999;13(Pt 5):678-680. doi:10.1038/eye.1999.188
7. Yıldırım H, Canleblebici M, Balbaba M, Çatak O. Evaluation of prognostic, etiological and demographic characteristics of open globe injuries. MN Oftalmoloji. 2023;30(1):33-39.
Article available in :
Volume 2, Issue 2, 2025
Page : 36-38
https://doi.org/10.51271/AOR-0032
Article Information
Received : 31 Oca 2025
Accepted : 23 Şub 2025
Published : 17 Nis 2025
Corresponding Author :

Hakan Veli Savaş: Department of Ophthalmology, Karakoçan State Hospital, Elazığ, Turkiye

[email protected]
Citation : Balbaba M, Savaş HV, Erdağ M, Yıldırım H, Baş MF. Beyond the fracture: documenting a unique case of total globe dislocation in orbital trauma. Arch Ophthalmol Res. 2025;2(2):36-38.

Read: 205
Download : 319
Cited: 0
_Footer