Traumatic Globe Luxation With Chiasmal Avulsion

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Title Traumatic Globe Luxation With Chiasmal Avulsion
Creator Sandy Wenting Zhou, Audrey Yuan Ching Pang, Eugenie Wei Ting Poh, Chee Fang Chin
Affiliation Department of Ophthalmology, Tan Tock Seng Hospital, National Healthcare Group Eye Institute, Singapore
Abstract Background: To describe an unusual case of traumatic globe luxation with optic chiasmal avulsion and review the existing literature on this rare condition for further discussion of mechanisms, diagnosis, and management. Methods: Case report and review of existing case reports and case series identified through literature search. Results: A 28-year-old woman, with no previous medical history, had left globe luxation and optic chiasm avulsion after being stabbed directly into the left orbit with the use of the stiletto high heel of a shoe. Automated visual field testing detected a temporal hemianopia in the unaffected eye despite normal central visual acuity. Chiasmal avulsion was demonstrated by MRI. Conclusions: This case suggests that perimetry and MRI should always be considered in traumatic globe luxation to localize the site of injury. Temporal hemianopia in the fellow eye indicates a concomitant chiasmal injury.
OCR Text Show
Publisher Lippincott, Williams & Wilkins
Date 2019-03
Type Text
Source Journal of Neuro-Ophthalmology, March 2019, Volume 39, Issue 1
Language eng
Rights Management © North American Neuro-Ophthalmology Society
Publication Type Journal Article
ARK ark:/87278/s6d851xd
Setname ehsl_novel_jno
Date Created 2020-09-25
Date Modified 2021-05-06
ID 1595917
Reference URL