Globe Extrusion(Sever Globe Tenting ) Due to Trauma

A 13 year-old boy crashed into a car while riding his bicycle and his right face and orbit were traumatized, then immediately globe extruded completely, his outward appearance was terrible when he was hospitalized, and the vision was NLP. Optic nerve, muscles, and all vessels and nerves were in severe stretching and the globe was at risk of ischemia and necrosis. I.V. corticosteroid, antibiotic, and manitol were used. Then globe was repositioned into orbit and lids sutured together, after one week sutures were removed and the globe was inside the orbit and was cosmetically in a very good condition and avoided from enucleation. Immediate medical and surgical therapy can prevent corneal ulceration, ischemia, and necrosis of globe and retrobulbar soft tissues in cases of globe extrusion; in addition outward appearance of the eye was in a good condition as the fellow eye.