A case of traumatic eyeball extrusion with complex, comminuted fractures.
- Author:
Jun Seok HUH
1
;
Duck Hyeon CHUN
;
Byoung Jin KIM
;
Ha Bum LEE
Author Information
1. Department of Ophthalmology, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University, Korea. feeloph@hanmir.com
- Publication Type:Case Report
- Keywords:
Eyeball extrusion;
Complex;
Comminuted fractures;
Medpor(R) channel implant
- MeSH:
Adult;
Conjunctiva;
Enophthalmos;
Eyelids;
Follow-Up Studies;
Fractures, Comminuted*;
Humans;
Lacerations;
Muscles;
Optic Nerve;
Orbit
- From:Journal of the Korean Ophthalmological Society
2003;44(1):251-258
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Traumatic extrusion of the eyeball is rare. We experienced and successfully reconstructed a case of the eyeball extrusion with complete avulsion of the optic nerve, and complex, comminuted fractures of medial and inferior orbital walls. METHODS: A 27-year-old man presented with the ocular pain and eyeball extrusion of the right eye after the trauma. There were multiple lacerations of the eyelid and the conjunctiva of the right eye, the complete avulsion of the optic nerve and the avulsion of extraocular muscles except the lateral rectus muscle, and the eyeball extrusion of the right eye. We performed the enucleation with Medpor(R) sphere implantation and the reconstruction of the inferior and medial walls with Medpor(R) one channel and sheet implant. RESULTS: At one-year follow-up, there were no implant exposure and infection, and good cosmetic result was seen without enophthalmos. CONCLUSIONS: In a case of eyeball extrusion with complex, comminuted fractures after trauma, we could reconstruct these successfully with enucleation with Medpor(R) sphere implantation, and repair of fractures with Medpor(R) channel and sheet implant.
