Traumatic globe dislocation into the ethmoidal sinus

The most common form of trauma causing globe dislocation into the paranasal sinuses reported in the literature is road traffic accident.1 In our clinical practice, livestock inflicted ocular trauma is not uncommon, and is most often seen in the subset of population involved in agricultural activity....

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Bibliographic Details
Published in:BMJ case reports 2020-07, Vol.13 (7), p.e235835
Main Author: Tripathy, Devjyoti
Format: Article
Language:English
Subjects:
Case reports
Ethmoid Sinus
Eye Injuries - complications
Eye Injuries - diagnostic imaging
Eye Injuries - surgery
Eyes & eyesight
Farmworkers
Humans
Images In
Ophthalmology
Orbital Fractures - diagnostic imaging
Retinal Artery Occlusion - complications
Tomography, X-Ray Computed
Trauma
Ultrasonic imaging
Ultrasonography
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - diagnostic imaging
Wounds, Nonpenetrating - surgery
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Summary:The most common form of trauma causing globe dislocation into the paranasal sinuses reported in the literature is road traffic accident.1 In our clinical practice, livestock inflicted ocular trauma is not uncommon, and is most often seen in the subset of population involved in agricultural activity. An early surgical intervention to repose the dislocated globe has been advocated in an attempt to salvage some vision in the eye.2 The most common cause of vision loss in such cases discussed in the literature is traumatic optic neuropathy.2 However, other causes like retinal vascular occlusions may also be contributory as seen in this instance. (C,D) CT scan axial (C) and coronal (D) cuts showing a large posterior medial orbital wall fracture with the eyeball wedged into the fracture site along with a large orbital floor fracture.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2020-235835