Management of traumatic luxation of the globe. A case report

Purpose: To report the management of a patient who had LeFort type ill frac tures and traumatic luxation of the globe with avulsion of the optic nerve and all extraocular muscles except for the medial rectus. Methods: Eight hours after the trauma, the detached and retracted superior and lateral recti muscles could be found and sutured to their original inse rtions, The inferior rectus could not be retrieved. Results: Although the left eye had no light perception, most of its motilit y was restored resulting in an unblemished cosmesis. Conclusion: Avoiding primary enucleation helped to alleviate the psychologi cal burden of the trauma on the patient. In case of the eventual developmen t of phthisis bulbi, the patient will have a chance to be fitted with a pro sthesis over his own eye with a resulting better motility.