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KMID : 0360220080490020368
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Journal of the Korean Ophthalmological Society
2008 Volume.49 No. 2 p.368 ~ p.377
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A Case of Dislocation of the Globe into the Maxillary Sinus after Orbital Wall Fracture
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Lee Kwan-Hoon
Ahn Jung-Hyun
Kyung Sung-Eun
Chang Moo-Hwan
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Abstract
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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.
Conclusion : 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.
J Korean Ophthalmol Soc 49(2):368-376, 2008
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KEYWORD
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Central retinal artery occlusion, Globe dislocation, Maxillary sinus, Orbital blowout fracture, Optic nerve injury
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