title: Traumatic globe luxation associated with orbital fracture in a child: a case report and literature review.
abstract: Orbital fracture associated with traumatic globe luxation is rare, as it generally requires trauma with high energy for this to occur. The present case report focused on a child who had been hit by a motorcycle, leading to a globe luxation of the left eye and fractures of the superolateral orbital walls. The patient presented initial cosmetic and psychological benefits from the repositioning of the intact globe and the reduction of the orbital fractures. However, a subsequent evisceration of the globe was required due to persistent proptosis and pain. An ocular prosthesis was also implanted, thus recovering the patient's aesthetics. Thirty-four well-documented cases of traumatic globe luxation could be found in the English literature since 1970. The mean age of patients presenting traumatic globe luxation was 29.5 years. The male gender proved to be more prevalent, with traffic collisions representing the most common accident etiology. Direct orbital trauma with fractures of medial and floor walls displacing the globe into the maxillary sinus represented the most common injury mechanism (38.2 %), followed by an elongated object entering the orbit (26.5 %). Optical nerve avulsion is the most serious complication seen in association with traumatic globe luxation, with the repositioning of the initial globe, with no enucleation or evisceration, representing the main form of management.
authors: Oral and Maxillofacial Surgery Service, Hospital João XXIII/FHEMIG, Av. Professor Alfredo Balena, 400, Santa Efigênia, Belo Horizonte, MG 30130-100 Brazil ; Department of Oral and Maxillofacial Surgery, School of Dentistry, Pontifícia Universidade Católica de Minas Gerais, Av. Dom José Gaspar, 500, Coração Eucarístico, Belo Horizonte, MG 30535-901 Brazil ; Department of Oral Surgery and Pathology. School of Dentistry, Universidade Federal de Minas Gerais, Av. Antônio Carlos, 6627, Pampulha, Belo Horizonte, MG 31270-901 Brazil.
authors: Márcio Bruno Figueiredo
authors: MB
authors: Amaral
authors: Department of Oral and Maxillofacial Surgery, School of Dentistry, Pontifícia Universidade Católica de Minas Gerais, Av. Dom José Gaspar, 500, Coração Eucarístico, Belo Horizonte, MG 30535-901 Brazil.
authors: Matheus Furtado
authors: MF
authors: Carvalho
authors: Ophthalmologic Service, Hospital João XXIII/FHEMIG, Av. Alfredo Balena, 400, Santa Efigênia, Belo Horizonte, MG 30130-100 Brazil.
authors: André Baptista
authors: AB
authors: Ferreira
authors: Department of Oral Surgery and Pathology. School of Dentistry, Universidade Federal de Minas Gerais, Av. Antônio Carlos, 6627, Pampulha, Belo Horizonte, MG 31270-901 Brazil.
authors: Ricardo Alves
authors: RA
authors: Mesquita
keywords: Facial injuries; Globe luxation; Orbital trauma