Published online May 16, 2022. doi: 10.12998/wjcc.v10.i14.4574
Peer-review started: October 5, 2021
First decision: February 7, 2022
Revised: February 11, 2022
Accepted: March 25, 2022
Article in press: March 25, 2022
Published online: May 16, 2022
Processing time: 219 Days and 23.5 Hours
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.
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.
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.
Core Tip: Globe luxation is rare and is mostly due to direct orbital trauma with fractures of the medial and floor walls, displacing the globe into the maxillary sinus. In our case, globe luxation was not as severe as those previously reported, and luxation occurred when the boy’s tricycle stopped suddenly. The boy maintained an intact retinal nerve and extraocular muscle and completely recovered after eye repositioning. After the surgery and 4-year follow-up, we consider that immediate surgical management must be performed, especially for patients whose retinal nerve is not severely injured. In addition, we hypothesize that there might exist some correlation between globe luxation and myopia; globe luxation might prevent nearsightedness by reducing the distortion of the eyeball and improving the function of ciliary.