Abstract
Globe subluxation is the displacement of eyeball from its normal anatomical position, which can have multifactorial etiologies. Most commonly, it is seen in severe craniofacial trauma; however, the spontaneous and voluntary cases have also been reported. Usually traumatic globe luxation, either directly or indirectly, is associated with poor visual outcome. Immediate repositioning of the globe into the orbit is necessary in any form of subluxation to alleviate patient’s symptoms and to restore visual function. Spontaneous or voluntary globe luxation can be managed as an outpatient office procedure by the manoeuvre described by David Tse. Traumatic globe luxation often warrants the help of a facio-maxillary surgeon or neurosurgeon.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Tucker B. Two cases of dislocation of the eyeball through the palpebral fissure. J Nerv Ment Dis. 1907;34(1):391–7.
Dorland’s Illustrated Medical Dictionary. 28th ed. Philadelphia: WB Saunders; 1994. p. 589.
Dorland’s Illustrated Medical Dictionary. 28th ed. Philadelphia: WB Saunders; 1994. p. 166.
Chhabra HN, Kawuma AMS. Luxation of the eyeball. Br J Ophthalmol. 1986;70(2):150–1.
Pelton RW, Rainey AM, Lee AG. Traumatic subluxation of the globe into the maxillary sinus. Am J Neuroradiol. 1998;19(8):1450–1.
Abrishami M, Aletaha M, Bagheri A, et al. Traumatic subluxation of the globe into the maxillary sinus. Ophthal Plast Reconstr Surg. 2007;23(2):156–8.
Ramstead C, McCabe J, Alkahtani M, et al. Traumatic dislocation of the globe into the maxillary sinus. Can J Ophthalmol. 2008;43(3):364–6.
Janfaza P. Surgical anatomy of the head and neck. New York: Lippincott Williams & Wilkins; 2001.
Haggerty CJ, Roman P. Repositioning of a traumatically displaced globe with maxillary antrostomy: review of the literature and treatment recommendations. J Oral Maxillofac Surg. 2013;71(11):1915–22.
Risco JM, Stratas BA, Knott RH. Prolapse of the globe into the ethmoid sinus. Am J Ophthalmol. 1984;97(5):659–60.
Tranfa F, Di Matteo G, Di Salle F, et al. Traumatic displacement of the globe into the ethmoid sinus. Am J Ophthalmol. 2000;130(2):253–4.
Nezami N, Sadighi A, Rahimi-Ardabili B. Magnetic resonance imaging of intact globe superior subluxation into the intracranium. Indian J Ophthalmol. 2012;60(1):69–70.
Shimia M, Sayyahmelli S. Traumatic displacement of the globe into brain. RMJ. 2009;34(2):234–5.
Kiratli H, TĂ¼mer B, Bilgic S. Management of traumatic luxation of the globe. A case report. Acta Ophthalmol Scand. 1999;77(3):340–2.
Morris WR, Osborn FD, Fleming JC. Traumatic evulsion of the globe. Ophthal Plast Reconstr Surg. 2002;18(4):261–7.
Kunesh JC, Katz SE. Spontaneous globe luxation associated with contact lens placement. CLAO J. 2002;28(1):2–4.
Kumar MA, Srikanth K, Pandurangan R. Spontaneous globe luxation associated with chronic obstructive pulmonary disease. Indian J Ophthalmol. 2012;60(4):324–5.
Rubin PAD, Watkins LM, Rumelt S, et al. Orbital computed tomographic characteristics of globe subluxation in thyroid orbitopathy. Ophthalmology. 1998;105(11):2061–4.
Wood CM, Pearson AD, Craft AW, Howe JW. Globe luxation in histiocytosis X. Br J Ophthalmol. 1988;72(8):631–3.
Brodrick JD. Luxation of the globe in Engelmann’s disease. Am J Ophthalmol. 1977;83(6):870–3.
Krauss HR, Yee RD, Foos RY. Autoenucleation. Surv Ophthalmol. 1984;29(3):179–87.
Albert DM, Jakobiec FA. Principles and practice of ophthalmology, clinical practice. Vol. 5. Philadelphia: W. B. Saunders; 1994. p. 3359.
Duke–Elder S. System of ophthalmology, vol. 13. London: Henry Kimpton; 1974. p. 1233–4.
Alexandrakis G, Tse DT, Chang WJ, Fla M. Spontaneous globe luxation associated with floppy eyelid syndrome and shallow orbits. Arch Ophthalmol. 1999;117(1):138–9.
Clendenen SR, Kostick DA. Ocular globe luxation under general anaesthesia. Anesth Analg. 2008;107(5):1630–1.
Apostolopoulos M, Papaspirou A, Damanakis A, et al. Bilateral optic neuropathy associated with voluntary globe subluxation and floppy eyelid syndrome. Arch Ophthalmol. 2004;122(10):1555–6.
Lyle DJ, McGavic JS. The cause of voluntary forward luxation of the eyeball. A case report with anatomical findings at necropsy. Am J Ophthalmol. 1936;19(1):316–20.
Offenbach B. Dislocation (luxation) of the eyeball. N Engl J Med. 1954;251(9):338–9.
Carlson RE, Scheribel KW, Hering PJ, Wolin L. Exophthalmos, global luxation, rapid weight gain: differential diagnosis. Ann Ophthalmol. 1982;14(8):724–9.
Tse DT. A simple maneuver to reposit a subluxed globe. Arch Ophthalmol. 2000;118(3):410–1.
Kelly EW, Fitch MT. Recurrent spontaneous globe subluxation: a case report and review of manual reduction techniques. J Emerg Med. 2013;44(1):17–20.
Song A, Carter KD. Bilateral traumatic globe subluxation. Ophthal Plast Reconstr Surg. 2006;22(2):136–7.
Srinivasan S, Gaskell A, McWhinnie H, et al. Conservative management of globe luxation with congenital orbital venous anomaly. J Pediatr Opthalmol Strabismus. 2003;40(3):170–1.
Gupta RC, Gupta P. Complete globe protrusion post trauma: a case report. J Dent Med Sci. 2013;6(5):28–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer India
About this chapter
Cite this chapter
Bhattacharjee, K., Bhattacharjee, H., Singh, M., Dey, D. (2017). Subluxated Globes. In: Mukherjee, B., Yuen, H. (eds) Emergencies of the Orbit and Adnexa. Springer, New Delhi. https://doi.org/10.1007/978-81-322-1807-4_4
Download citation
DOI: https://doi.org/10.1007/978-81-322-1807-4_4
Published:
Publisher Name: Springer, New Delhi
Print ISBN: 978-81-322-1806-7
Online ISBN: 978-81-322-1807-4
eBook Packages: MedicineMedicine (R0)