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Clinical Images
Globe avulsion due to impact by motor cycle gear shift
1 Department of Ophthalmology, Faculty of Medicine, Hasanuddin University, Wahidin Sudirohusodo Hospital, Makassar, Indonesia
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Halimah Pagarra
Department of Ophthalmology, Faculty of Medicine, Hasanuddin University, Wahidin Sudirohusodo Hospital, Makassar,
Indonesia
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Article ID: 100010Z17DI2019
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How to cite this article
Ibrahim DF, Pagarra H, Muhiddin HS, Yunita. Globe avulsion due to impact by motor cycle gear shift. J Case Rep Images Opthalmol 2019;2:100010Z17DI2019.ABSTRACT
Introduction: Motor cycle accident is one of the leading cause of eye injury in Indonesia and vision loss are possible outcomes due to its high impact. Some eye injuries that can occur following motor cycle accident are eyelid lacerations, corneal injuries, iris injuries, hyphema, eye socket injuries, retinal injuries, optic nerve injuries or even worse such as eye globe avulsion.
Case Report: This is a comprehensive case report of a 19-year-old male presented with a globe avulsion after a motor vehicle trauma. The left globe was luxated out of the orbit. The superior and inferior lids were lacerated full thickness. There was corneal haze and no eye movement. Computed tomography (CT) scan showed blow out fracture of the left inferior orbital wall and hematosinus. There was no sign of intracranial trauma as well as other facial fractures and soft tissue injuries. The patient was enucleated after further assessment of the globe. The final follow up showed excellent cosmetic result after prosthetic fitting.
Conclusion: Traumatic globe avulsion is a rare complication of trauma. In developing country like Indonesia, safety measures while using a motor vehicle is not taken seriously and laws regarding traffic safety and regulations are not enforced to the fullest extent. Low education and minimal safety promotion increase the possibility of ocular injuries.
Keywords: Enucleation, Eye globe avulsion, Motorcycle accident
SUPPORTING INFORMATION
Author Contributions
Dian Furqani Ibrahim - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Halimah Pagarra - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Habibah S Muhiddin - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Final approval of the version to be published
Yunita - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Source of SupportNone
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Dian Furqani Ibrahim et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
