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Case report
peer-reviewed

Missing Globe: A Case of Severe Head Trauma, Eyelid Laceration, and Traumatic Enucleation



Abstract

We report an unusual periocular injury in a 19-year-old motorcycle rider during an accident. The patient had lacerations on the right upper and lower eyelids and the globe was enucleated en bloc. Despite disorganization of the eyelids and orbit, reconstruction of the eyelids and anophthalmic socket was successful. The primary reconstruction of the anophthalmic socket in the traumatic enucleation is a real challenge, especially when the conjunctival and the orbital tissues are missing or disorganized. It is proposed to utilize the optic nerve regeneration techniques in the cases of traumatic enucleation when the globe is intact. However, in the current case, the globe was unavailable.



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Case report
peer-reviewed

Missing Globe: A Case of Severe Head Trauma, Eyelid Laceration, and Traumatic Enucleation


Author Information

Joobin Khadamy Corresponding Author

Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Science (Iums)

Pardis Khademi

St. Erik Eye Hospital, Stockholm, Sweden., St. Erik Eye Hospital

Mohsen Kashkouli

Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Science (iums), Tehran, Iran, Eye Research Center, Rassoul Akram Hospital


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

Missing Globe: A Case of Severe Head Trauma, Eyelid Laceration, and Traumatic Enucleation


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Case report
peer-reviewed

Missing Globe: A Case of Severe Head Trauma, Eyelid Laceration, and Traumatic Enucleation

  • Author Information
    Joobin Khadamy Corresponding Author

    Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Science (Iums)

    Pardis Khademi

    St. Erik Eye Hospital, Stockholm, Sweden., St. Erik Eye Hospital

    Mohsen Kashkouli

    Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Science (iums), Tehran, Iran, Eye Research Center, Rassoul Akram Hospital


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: December 26, 2017

    DOI

    10.7759/cureus.1988

    Cite this article as:

    Khadamy J, Khademi P, Kashkouli M (December 26, 2017) Missing Globe: A Case of Severe Head Trauma, Eyelid Laceration, and Traumatic Enucleation. Cureus 9(12): e1988. doi:10.7759/cureus.1988

    Publication history

    Received by Cureus: December 06, 2017
    Peer review began: December 19, 2017
    Peer review concluded: December 20, 2017
    Published: December 26, 2017

    Copyright

    © Copyright 2017
    Khadamy et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

We report an unusual periocular injury in a 19-year-old motorcycle rider during an accident. The patient had lacerations on the right upper and lower eyelids and the globe was enucleated en bloc. Despite disorganization of the eyelids and orbit, reconstruction of the eyelids and anophthalmic socket was successful. The primary reconstruction of the anophthalmic socket in the traumatic enucleation is a real challenge, especially when the conjunctival and the orbital tissues are missing or disorganized. It is proposed to utilize the optic nerve regeneration techniques in the cases of traumatic enucleation when the globe is intact. However, in the current case, the globe was unavailable.



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Create a free account to continue reading this article.

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Joobin Khadamy

Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Science (Iums)

For correspondence:
joobin.khadamy@gmail.com

Pardis Khademi

St. Erik Eye Hospital, Stockholm, Sweden., St. Erik Eye Hospital

Mohsen Kashkouli

Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Science (iums), Tehran, Iran, Eye Research Center, Rassoul Akram Hospital

Joobin Khadamy

Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Science (Iums)

For correspondence:
joobin.khadamy@gmail.com

Pardis Khademi

St. Erik Eye Hospital, Stockholm, Sweden., St. Erik Eye Hospital

Mohsen Kashkouli

Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Science (iums), Tehran, Iran, Eye Research Center, Rassoul Akram Hospital