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Traumatic prolapse of the globe into the anterior cranial fossa: a case report
BACKGROUND: Orbital fracture associated with traumatic intracranial prolapse of the eyeball is rare. In all previously reported cases, vision was severely impaired with no light perception. Herein, we report a case of traumatic prolapse of the globe into the anterior cranial fossa, in which the pati...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7119161/ https://www.ncbi.nlm.nih.gov/pubmed/32245433 http://dx.doi.org/10.1186/s12886-020-01403-2 |
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author | Liu, Hui Hu, Shengli Qin, Wei |
author_facet | Liu, Hui Hu, Shengli Qin, Wei |
author_sort | Liu, Hui |
collection | PubMed |
description | BACKGROUND: Orbital fracture associated with traumatic intracranial prolapse of the eyeball is rare. In all previously reported cases, vision was severely impaired with no light perception. Herein, we report a case of traumatic prolapse of the globe into the anterior cranial fossa, in which the patient’s vision was preserved by early repositioning. CASE PRESENTATION: The present case report focused on a man hit by a steel pipe, leading to prolapse of the globe of the right eye into the anterior cranial fossa through fractures in the superior orbit roof, accompanied by cerebral contusion. The eyeball was immediately repositioned into the orbital cavity, along which the wound tract was debrided and the skull base was repaired. The patient underwent a follow-up period of 12 months, during which the visual acuity increased to 12/20 without any intracranial infections. However, the patient’s ptosis persisted and was associated with complete loss of supraduction. CONCLUSIONS: In this case, early diagnosis and proper globe repositioning with reconstruction of the orbital roof could allow recovery of vision, as well as prevention of intracranial infection. |
format | Online Article Text |
id | pubmed-7119161 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-71191612020-04-07 Traumatic prolapse of the globe into the anterior cranial fossa: a case report Liu, Hui Hu, Shengli Qin, Wei BMC Ophthalmol Case Report BACKGROUND: Orbital fracture associated with traumatic intracranial prolapse of the eyeball is rare. In all previously reported cases, vision was severely impaired with no light perception. Herein, we report a case of traumatic prolapse of the globe into the anterior cranial fossa, in which the patient’s vision was preserved by early repositioning. CASE PRESENTATION: The present case report focused on a man hit by a steel pipe, leading to prolapse of the globe of the right eye into the anterior cranial fossa through fractures in the superior orbit roof, accompanied by cerebral contusion. The eyeball was immediately repositioned into the orbital cavity, along which the wound tract was debrided and the skull base was repaired. The patient underwent a follow-up period of 12 months, during which the visual acuity increased to 12/20 without any intracranial infections. However, the patient’s ptosis persisted and was associated with complete loss of supraduction. CONCLUSIONS: In this case, early diagnosis and proper globe repositioning with reconstruction of the orbital roof could allow recovery of vision, as well as prevention of intracranial infection. BioMed Central 2020-04-03 /pmc/articles/PMC7119161/ /pubmed/32245433 http://dx.doi.org/10.1186/s12886-020-01403-2 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Liu, Hui Hu, Shengli Qin, Wei Traumatic prolapse of the globe into the anterior cranial fossa: a case report |
title | Traumatic prolapse of the globe into the anterior cranial fossa: a case report |
title_full | Traumatic prolapse of the globe into the anterior cranial fossa: a case report |
title_fullStr | Traumatic prolapse of the globe into the anterior cranial fossa: a case report |
title_full_unstemmed | Traumatic prolapse of the globe into the anterior cranial fossa: a case report |
title_short | Traumatic prolapse of the globe into the anterior cranial fossa: a case report |
title_sort | traumatic prolapse of the globe into the anterior cranial fossa: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7119161/ https://www.ncbi.nlm.nih.gov/pubmed/32245433 http://dx.doi.org/10.1186/s12886-020-01403-2 |
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