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Concealed globe dislocation without enophthalmos following a low-velocity impact. | LitMetric

Concealed globe dislocation without enophthalmos following a low-velocity impact.

Am J Emerg Med

Division of Trauma and Surgical Critical Care, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Emergency Medicine, College of Medicine, Faculty of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic addres

Published: July 2025


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Article Abstract

A 61-year-old woman experienced a traumatic globe dislocation after falling onto a motorcycle handlebar. Initially, this extremely rare injury was overlooked because distracting facial injuries obscured its typical signs. A CT scan ultimately revealed that the eye had been displaced into the maxillary sinus. Although surgical repositioning was successful, the patient suffered irreversible vision loss due to damage to the optic nerve. This case serves as a critical reminder that in cases of severe facial trauma, urgent imaging is essential to rule out concealed ocular injuries, especially when direct examination is hindered by significant swelling or wounds.

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Source
http://dx.doi.org/10.1016/j.ajem.2025.07.063DOI Listing

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