title: Bilateral traumatic globe luxation with optic nerve transection.
abstract: OBJECTIVE
  The purpose of this study was to document clinical findings and management of a patient with bilateral globe luxation and optic nerve transection.
  
  
  METHODS
  A 25-year-old female patient was admitted to the emergency department with bilateral traumatic globe luxation following a motor vehicle accident.
  
  
  RESULTS
  Visual acuity testing showed no light perception. The right pupil was dilated and bilaterally did not react to light. The globes were bilaterally intact. A computed tomography scan revealed Le Fort type II fractures, bilateral optic nerve transection and disruption of all extraocular muscles. The globes of the patient were bilaterally reduced into the orbit. However, the patient developed phthisis bulbi in the right eye at month 3.
  
  
  CONCLUSIONS
  Globe luxation presents a dramatic clinical picture, and may lead to the development of severe complications due to the concomitance of complete optic nerve dissection and multiple traumas. Even if the luxated globe is repositioned into the orbit, there is still an increased risk of the development of phthisis due to ischemia.
authors.affiliation: Department of Ophthalmology, Faculty of Medicine, Süleyman Demirel University, Isparta, Burdur, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Tok
authors.affiliation: Department of Ophthalmology, Faculty of Medicine, Süleyman Demirel University, Isparta, Burdur, Turkey.
authors.forename: Ozlem Yalcin
authors.initials: OY
authors.lastname: Tok
authors.affiliation: Department of Ophthalmology, Faculty of Medicine, Süleyman Demirel University, Isparta, Burdur, Turkey.
authors.forename: Tugba Cakmak
authors.initials: TC
authors.lastname: Argun
authors.affiliation: Department of Radiology, Faculty of Medicine, Süleyman Demirel University, Isparta, Burdur, Turkey.
authors.forename: Omer
authors.initials: O
authors.lastname: Yilmaz
authors.affiliation: Department of Ophthalmology, Faculty of Medicine, Süleyman Demirel University, Isparta, Burdur, Turkey.
authors.forename: Alime
authors.initials: A
authors.lastname: Gunes
authors.affiliation: Department of Radiology, Faculty of Medicine, Süleyman Demirel University, Isparta, Burdur, Turkey.
authors.forename: Elif Nisa
authors.initials: EN
authors.lastname: Unlu
authors.affiliation: Department of Ophthalmology, Burdur State Hospital, Burdur, Turkey.
authors.forename: Sezgin
authors.initials: S
authors.lastname: Sezer
authors.affiliation: Department of Radiology, Faculty of Medicine, Süleyman Demirel University, Isparta, Burdur, Turkey.
authors.forename: Seda
authors.initials: S
authors.lastname: Ibisoglu
authors.affiliation: Department of Radiology, Faculty of Medicine, Süleyman Demirel University, Isparta, Burdur, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Argun
keywords: Optic nerve avulsion; Optic nerve transection; Orbital trauma; Traumatic globe luxation