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Case Reports
. 2022 May 16;10(14):4574-4579.
doi: 10.12998/wjcc.v10.i14.4574.

Globe luxation may prevent myopia in a child: A case report

Qian Li  1 , Yu-Xin Xu  2
Affiliations
Case Reports

Globe luxation may prevent myopia in a child: A case report

Qian Li et al. World J Clin Cases. .

Abstract

Background: Globe luxation is rare and is mostly due to direct orbital trauma with fractures of the medial and floor walls, which displace the globe into the maxillary sinus. Only a few cases have been reported; moreover, patients who suffer global luxation rarely achieve eyesight recovery.

Case summary: This report describes the treatment and prognosis of global luxation occurring in a child. A 6-year-old boy presented with left globe luxation that occurred after a sudden stop on a tricycle, without any injury to the orbital or maxillofacial bony structures. After admission to the hospital, an external canthus incision, globe repositioning, orbital exploration and temporary blepharoplasty were performed. Finally, the child completely recovered and maintained good eyesight in his left eye even though the right eye developed myopia after four years of follow-up.

Conclusion: The aim of this study was to report the special occurrence of globe luxation in the child and share some experience of the treatment. Immediate surgical management plays an important role in the recovery of visual function, and globe luxation may prevent nearsightedness by reducing the distortion of the eyeball, shortening the axis and improving ciliary function.

Keywords: Case report; Globe luxation; Myopia; Orbital trauma.

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Conflict of interest statement

Conflict-of-interest statement: The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
The status at different follow-up time. A and B: Status on presentation (June 3, 2017); C: Status on the first postoperative day (June 5, 2017); D: Status at the end of the first postoperative week (June 13, 2017); E: Status at the end of the first postoperative month (July 18, 2017); F: Status after two months (August 22, 2017); G: Status at February 2, 2018; H: Status at July 23, 2019; I: Status at August 8, 2020.
Figure 2
Figure 2
The imaging material about globe luxation. A-C: Computed tomography; D and E: Magnetic resonance imaging, obvious proptosis of the left globe and gas accumulation in the superior intraconal space and stretching of the extraocular muscle; F: From the magnetic resonance angiography excluded carotid cavernous fistula.
See this image and copyright information in PMC

References

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