Display options
Cite
Elkbuli A, Meneses E, Kinslow K, et al. A rare case of pre-hospital globe enucleation after a penetrating injury to the orbit during an assault: A case report and literature review. Int J Surg Case Rep. 2020;75:231-234doi: 10.1016/j.ijscr.2020.09.087.
Elkbuli, A., Meneses, E., Kinslow, K., McKenney, M., & Boneva, D. (2020). A rare case of pre-hospital globe enucleation after a penetrating injury to the orbit during an assault: A case report and literature review. International journal of surgery case reports, 75231-234. https://doi.org/10.1016/j.ijscr.2020.09.087
Elkbuli, Adel, et al. "A rare case of pre-hospital globe enucleation after a penetrating injury to the orbit during an assault: A case report and literature review." International journal of surgery case reports vol. 75 (2020): 231-234. doi: https://doi.org/10.1016/j.ijscr.2020.09.087
Elkbuli A, Meneses E, Kinslow K, McKenney M, Boneva D. A rare case of pre-hospital globe enucleation after a penetrating injury to the orbit during an assault: A case report and literature review. Int J Surg Case Rep. 2020;75:231-234. doi: 10.1016/j.ijscr.2020.09.087. Epub 2020 Sep 15. PMID: 32966932; PMCID: PMC7509343.
Copy Download .nbib Format: NLM
Share it on

Int J Surg Case Rep. 2020;75:231-234. doi: 10.1016/j.ijscr.2020.09.087. Epub 2020 Sep 15.

A rare case of pre-hospital globe enucleation after a penetrating injury to the orbit during an assault: A case report and literature review.

International journal of surgery case reports

Adel Elkbuli, Evander Meneses, Kyle Kinslow, Mark McKenney, Dessy Boneva

Affiliations

  1. Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA. Electronic address: [email protected].
  2. Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA.
  3. Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA; Department of Surgery, University of South Florida, Tampa, FL, USA.

PMID: 32966932 PMCID: PMC7509343 DOI: 10.1016/j.ijscr.2020.09.087

Abstract

INTRODUCTION: Ocular trauma is a common occurrence in trauma settings but often occurs with little to no effect on the vision of the patient. Traumatic enucleation is a rare but devastating injury.

CASE PRESENTATION: A 40-year-old male presented to our trauma center after an assault resulting in right globe enucleation. CT confirmed absence of the globe with disruption of the ipsilateral orbital contents and distal optic nerve disruption. The patient was started on intravenous antibiotics and the right orbit was packed. He was taken to the operating room for exploration of the right orbit and placement of an implant. His remaining hospital course was unremarkable.

DISCUSSION: Documented mechanisms of injury for traumatic enucleation are diverse, but often involve significant retro-ocular force to completely dislodge the globe from the orbit. Optic nerve avulsion may cause associated optic nerve chiasm damage leading to temporal hemianopia in the uninjured contralateral eye. Treatment involves stabilization and preparation for future implant placement.

CONCLUSION: Traumatic enucleation is extremely rare. Development of a grading system applicable to traumatic enucleation may be helpful in guiding management in this complex patient population.

Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Keywords: Assault; Optic chiasm injuries; Optic nerve avulsion; Temporal hemianopia; Traumatic enucleation

References

  1. Am J Ophthalmol. 2009 Apr;147(4):595-600.e1 - PubMed
  2. Ophthalmology. 2017 Jun;124(6):767 - PubMed
  3. Int J Surg. 2018 Dec;60:132-136 - PubMed
  4. Am J Ophthalmol. 1992 Feb 15;113(2):138-44 - PubMed
  5. Cureus. 2017 Dec 26;9(12):e1988 - PubMed
  6. N Z Med J. 2012 Jan 20;125(1348):61-9 - PubMed
  7. Arch Ophthalmol. 1999 Jan;117(1):127-8 - PubMed
  8. Graefes Arch Clin Exp Ophthalmol. 1996 Jun;234(6):399-403 - PubMed
  9. J Maxillofac Oral Surg. 2015 Mar;14(Suppl 1):323-30 - PubMed
  10. Br J Ophthalmol. 2002 Nov;86(11):1317-8 - PubMed
  11. WMJ. 2014 Jun;113(3):99-101 - PubMed
  12. Ophthalmology. 2003 Mar;110(3):575-7 - PubMed
  13. Aust N Z J Ophthalmol. 1992 May;20(2):95-8 - PubMed
  14. No Shinkei Geka. 1988 Oct;16(11):1293-7 - PubMed
  15. Surv Ophthalmol. 1984 Nov-Dec;29(3):179-87 - PubMed
  16. Acad Emerg Med. 2002 Mar;9(3):209-13 - PubMed

Publication Types