PDF(Pubmed)
Abstract：
Traumatic globe luxation associated with optic nerve avulsion is rare. We describe a case of a 42-year-old Indian gentleman who was involved in a motor vehicle accident (MVA). He sustained a deep laceration wound from the right side of the nose extending to the left medial canthal region and left eyelid. The left globe was not visualized, and only the left optic nerve stump was seen. A computerized tomography (CT) scan showed a left globe dislocated inferotemporal with discontinuity of the left optic nerve, inferior rectus, and lateral rectus muscle. There were also comminuted fractures at the floor and lateral wall of the left orbit with significant lateral displacement of the bone fragments. He underwent left eye enucleation, toilet, and suturing of the laceration wounds and open reduction internal fixation (ORIF) of the fractures. We report this case as it is not commonly seen in Malaysia.
摘要：
与视神经撕脱相关的外伤性眼球脱位很少见。我们描述了一名42岁的印度绅士卷入机动车事故（MVA）的案例。他从鼻子的右侧持续了深深的撕裂伤，延伸到左内侧can区域和左眼睑。左边的地球仪没有可视化，只看到了左侧的视神经残端.计算机断层扫描（CT）扫描显示左眼球下颞叶脱位，左视神经不连续，下直肌，和外侧直肌。左眼眶的底部和侧壁也有粉碎性骨折，骨碎片有明显的侧向位移。他做了左眼摘除手术,厕所,裂伤伤口的缝合和骨折的切开复位内固定（ORIF）。我们报告了这种情况，因为它在马来西亚并不常见。
