Secondary Logo

Institutional members access full text with Ovid®

Share this article on:

Traumatic Globe Luxation With Chiasmal Avulsion

Zhou, Sandy Wenting, MD, MMed (Ophth); Pang, Audrey Yuan Ching, MB BChir (Cambridge), MMed (Ophth), FAMS (Ophth), FRCOphth (London); Poh, Eugenie Wei Ting, MBBS, MRCSEd, MMed (Ophth), FRCSEd (Ophth), FAMS (Ophth); Chin, Chee Fang, MBChB, MMed, FRCSEd (Ophth), FAMS (Ophth)

doi: 10.1097/WNO.0000000000000671
Original Contribution: PDF Only

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.

Department of Ophthalmology, Tan Tock Seng Hospital, National Healthcare Group Eye Institute, Singapore.

Address correspondence to Chee Fang Chin, Department of Ophthalmology, Tan Tock Seng Hospital, National Healthcare Group Eye Institute, 11 Jalan Tan Tock Seng, Singapore 308433; E-mail: chee_fang_chin@ttsh.com.sg

The authors report no conflicts of interest.

© 2018 by North American Neuro-Ophthalmology Society