The hidden globe: A case report on traumatic complete dislocation of the right globe into cranial cavity
Objectives: To emphasise the role of point of care ultrasound (POCUS) as diagnostic modality in investigation of orbital trauma and to share an extremely rare case of eyeball dislocation into anterior cranial fossa. Case Report: A 65-year-old gentleman presented to the hospital after a lor...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
2020
|
| Subjects: | |
| Online Access: | http://irep.iium.edu.my/117087/1/117087_The%20Hidden%20Globe%20a%20Case.pdf http://irep.iium.edu.my/117087/ https://www.proquest.com/docview/2630953093?sourcetype=Scholarly%20Journals# |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Objectives: To emphasise the role of point of care
ultrasound (POCUS) as diagnostic modality in investigation
of orbital trauma and to share an extremely rare case of
eyeball dislocation into anterior cranial fossa.
Case Report: A 65-year-old gentleman presented to
the hospital after a lorry’s container accidentally fell over his
face with complaints of right sided facial pain with loss of
right eye vision and missing the right eyeball.
Patient was fully conscious, orientated and
hemodynamically stable. There was absent of right eye from
its orbit and mechanical ptosis of the upper eyelid with intact
right facial nerve. Other neurological examinations were
normal.
Results: Our POCUS showed that the distance between
the right eyelid and right eyeball was significantly increased,
there was loss of continuity of the orbital roof indicating
fracture and dislocation of the bone fragments and the
eyeball can be seen using the ultrasound to be dislocated
superiorly and posteriorly into the anterior cranial fossa with
intact right eye globe. All findings correlate with computed
tomography brain scan report.
Discussion: Eyeball dislocation into anterior cranial
fossa is an extremely rare presentation and this is the 3rd
case reported so far. Ultrasound has been proven to be
demonstrated satisfactory sensitivity (92%) and specificity
(100%) and positive predictive value (100%) in diagnosing
orbital fractures when compared to CT scan.
Conclusion: Ultrasound users should aware of the
ability of ultrasound to diagnose not just orbital wall fracture
but also eyeball dislocation and determined its direction of
herniation. |
|---|