Journal of Emergencies, Trauma, and Shock
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CASE SNIPPET  
Year : 2018  |  Volume : 11  |  Issue : 1  |  Page : 60
Globe Luxation and Optic Nerve Avulsion by Dog Bite


Department of Ophthalmology and Vision Science, University of California Davis Health Eye Center, Sacramento, CA, USA

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Date of Submission06-Oct-2017
Date of Acceptance24-Oct-2017
Date of Web Publication19-Feb-2018
 

How to cite this article:
Hellman JB, Lin LK. Globe Luxation and Optic Nerve Avulsion by Dog Bite. J Emerg Trauma Shock 2018;11:60

How to cite this URL:
Hellman JB, Lin LK. Globe Luxation and Optic Nerve Avulsion by Dog Bite. J Emerg Trauma Shock [serial online] 2018 [cited 2020 Sep 26];11:60. Available from: http://www.onlinejets.org/text.asp?2018/11/1/60/225756




A 9-year-old female presented to the emergency department after being attacked by her family dog. The patient was alone in the passenger seat of a parked car when the dog saw another dog, jumped into the child's seat, and bit her left eye. The child immediately lost all vision. The left globe was luxed onto the cheek [Figure 1]a and a long segment of the optic nerve avulsed [Figure 1]b. Computed tomographic scan showed avulsion of the left globe with transection of superior and medial rectus muscles and optic nerve, as well as hemorrhage near the chiasm [Figure 1]c and [Figure 1]d. Enucleation was offered; however, the patient's family elected for globe repositioning. The patient did not develop ocular ischemic syndrome or phthisis bulbi during her 4 years of follow-up. On review of the literature, the authors are unaware of any other reported cases of optic nerve avulsion and globe luxation by dog bite.[1],[2],[3],[4],[5]
Figure 1: External photograph depicting globe luxed onto cheek (a) and long segment of avulsed optic nerve (b) with axial facial computed tomography images (c and d)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Bajaj MS, Kedar S, Sethi A, Gupta V. Traumatic globe luxation with optic nerve transection. Orbit 2000;19:165-70.  Back to cited text no. 1
[PUBMED]    
2.
Hindman HB, Srikumaran D, Halfpenny C, Hirschbein MJ. Traumatic globe luxation and enucleation caused by a human bite injury. Ophthal Plast Reconstr Surg 2007;23:422-3.  Back to cited text no. 2
    
3.
Pillai S, Mahmood MA, Limaye SR. Complete evulsion of the globe and optic nerve. Br J Ophthalmol 1987;71:69-72.  Back to cited text no. 3
    
4.
Tok L, Tok OY, Argun TC, Yilmaz O, Gunes A, Unlu EN, et al. Bilateral traumatic globe luxation with optic nerve transection. Case Rep Ophthalmol 2014;5:429-34.  Back to cited text no. 4
    
5.
Unal S, Argin A, Arslan E, Demirkan F, Aksoy A. Bilateral complete avulsion of ocular globes in a le fort III maxillofacial fracture: A case report and review of the literature. Eur J Ophthalmol 2005;15:123-5.  Back to cited text no. 5
    

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Correspondence Address:
Lily Koo Lin
Department of Ophthalmology and Vision Science, University of California Davis Health Eye Center, Sacramento, CA
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JETS.JETS_107_17

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