Clinical case of traumatic dislocation of the eyeball

The article presents a rare clinical case of dislocation of the right eyeball in patient P., 46 years old, as a result of a domestic injury. Within 30 minutes after the injury, the patient was taken to the hospital, where she underwent all the necessary examinations and consultations with a surgeon, neurologist, and therapist, and within 6 hours she was provided with surgical emergency medical care. The latter was carried out in 2 stages: in the first stage, reposition of the eyeball was performed with blepharorrhaphy and a pressure bandage, and in the second stage, a week later, a reconstructive operation was performed with revision of the conjunctival cavity, followed by its plastic surgery, isolation and dissection of scar adhesions of the rectus muscles, suturing of torn ones and shortening of stretched ones. extraocular muscles, etc. The patient’s combined injury, representing a combination of brain contusion and patellar fracture with prolapse of the eyeball, hemophthalmos and retinal detachment, necessitated complex therapy and low visual acuity at discharge (0.01 does not correct). In the future, the patient is scheduled for vitreoretinal surgery. Key words: traumatic dislocation of the eyeball, hemophthalmos, retinal detachment, eye reposition with blepharorrhaphy, reconstructive surgery

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Publication Details

Journal
POINT OF VIEW EAST – WEST
Published
2024-10-12
DOI
https://doi.org/10.25276/2410-1257-2024-3-60-62
Primary Topic
Traumatic Ocular and Foreign Body Injuries
Type
article
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article

Clinical case of traumatic dislocation of the eyeball

D.K. Gufranova
POINT OF VIEW EAST – WEST
Traumatic Ocular and Foreign Body Injuries
article

Clinical case of traumatic dislocation of the eyeball

D.K. Gufranova
article en

Abstract

The article presents a rare clinical case of dislocation of the right eyeball in patient P., 46 years old, as a result of a domestic injury. Within 30 minutes after the injury, the patient was taken to the hospital, where she underwent all the necessary examinations and consultations with a surgeon, neurologist, and therapist, and within 6 hours she was provided with surgical emergency medical care. The latter was carried out in 2 stages: in the first stage, reposition of the eyeball was performed with blepharorrhaphy and a pressure bandage, and in the second stage, a week later, a reconstructive operation was performed with revision of the conjunctival cavity, followed by its plastic surgery, isolation and dissection of scar adhesions of the rectus muscles, suturing of torn ones and shortening of stretched ones. extraocular muscles, etc. The patient’s combined injury, representing a combination of brain contusion and patellar fracture with prolapse of the eyeball, hemophthalmos and retinal detachment, necessitated complex therapy and low visual acuity at discharge (0.01 does not correct). In the future, the patient is scheduled for vitreoretinal surgery. Key words: traumatic dislocation of the eyeball, hemophthalmos, retinal detachment, eye reposition with blepharorrhaphy, reconstructive surgery

POINT OF VIEW EAST – WESTVol. 11(3)
Openalex Percentile: Top 59%
Traumatic Ocular and Foreign Body Injuries
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