traumatic avulsion of the globe: report of a rare case and brief review of literature

we report a rare, severe case of traumatic globe avulsion and its assessment and management. a 60-year-old man was presented with complete globe avulsion following a facial trauma. left globe was luxated out of the orbit. no direct or indirect light reflexes or any eye movement could be noted. ct-scan showed complete laceration of the left optic nerve, globe protrusion and multiple orbital bone fractures. after repositioning of the protruded globe tarsorrhaphy was performed. although visual recovery cannot be achieved after severe orbital or optic nerve trauma, avoiding primary enucleation helps alleviate the psychological burden of the trauma. in case of the eventual development of phthisis bulbi, the patient will have a chance to be fitted with a prothesis over his own eye with a resulting better motility.   iranian journal of ophthalmology 200820(2):46-49