A Case of Dislocation of the Globe into the Maxillary Sinus after Orbital Wall Fracture.

Lee, Kwan Hoon; Ahn, Jung Hyun; Kyung, Seong Eun; Chang, Moo Hwan

doi:2008.49.2.368

J Korean Ophthalmol Soc > Volume 49(2); 2008 > Article

Case Report

Journal of the Korean Ophthalmological Society 2008;49(2):368-376.
DOI: https://doi.org/10.3341/jkos.2008.49.2.368 Published online February 29, 2008.

A Case of Dislocation of the Globe into the Maxillary Sinus after Orbital Wall Fracture.

Kwan Hoon Lee, Jung Hyun Ahn, Seong Eun Kyung, Moo Hwan Chang

Department of Ophthalmology, The Dankook University Medical College, Cheonan, Korea. kseeye@hanmail.net

안와골절 후 상악동으로의 안구 탈출 1예

이관훈ㆍ안정현ㆍ경성은ㆍ장무환

Department of Ophthalmology, The Dankook University Medical College, Cheonan, Korea

Correspondence: Kwan Hoon Lee, M.D.

Abstract

PURPOSE
We report a case of a 38-year-old man who suffered a blowout fracture of the orbital wall with an intact eyeball entrapped within the maxillary sinus after trauma. CASE SUMMARY: The 38-year-old man was admitted to the emergency room after sustaining a work-related trauma. His chief complaints were loss of vision and bleeding from the left periorbital area. He had no light perception and no eyeball was found in the orbit. Facial CT revealed that the intact eyeball was entrapped within the maxillary sinus. The condition of the optic nerve was difficult to ascertain. Ten hours after post-trauma, reduction surgery was done with a graft from the iliac bone. Ruptured extraocular muscles were not primarily sutured. After four months, vitrectomy was performed on the left eye. The eyeball was repositioned in its place. He had no light perception. Extraocular motility improved at the last follow-up examination. CONCLUSIONS: We report the dislocation of the eyeball globe into the maxillary sinus after a blowout fracture. Visual acuity showed no light perception as a result of central retinal artery occlusion and optic nerve injury. We were able to obtain a good aesthetic and functional result after the operation.

Key Words: Central retinal artery occlusion;Globe dislocation;Maxillary sinus;Orbital blowout fracture;Optic nerve injury