{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T18:31:09Z","timestamp":1770748269505,"version":"3.49.0"},"reference-count":21,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,19]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>Luxation of the globe is a rare, vision-threatening event that can presently spontaneously or following trauma. A 35-year-old man presented with bilaterally luxated globe, postroad traffic accident. On imaging, bilateral LeFort fracture type 1, 2 and 3 with palatal split along with nasal bone and orbital floor fracture. Both condyles and left parasymphysis of mandible were fractured. There was no evidence of intracranial injury. There was pneumothorax on the right side for which intercostal drainage (ICD) tube was placed. On exploring, bilateral optic nerve avulsion was present. Both the globes were repositioned and a temporary tarsorrhaphy was placed for cosmetic rehabilitation. On follow-up visits after 6\u2009months, both eyes were in their sockets with minimal exodeviation. It is important to reposition the globes, even with extensive periorbital fracture at the earliest. The longer the globe and orbital structures are prolapsed, the poorer are the structural and cosmetic prognosis owing to ocular ischaemia.<\/jats:p>","DOI":"10.1136\/bcr-2021-244099","type":"journal-article","created":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T12:08:16Z","timestamp":1630670896000},"page":"e244099","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Bilateral globe luxation with multiple facial fractures: what next?"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4446-0274","authenticated-orcid":false,"given":"Deepsekhar","family":"Das","sequence":"first","affiliation":[{"name":"Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avilasha","family":"Mohapatra","sequence":"additional","affiliation":[{"name":"Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1306-5722","authenticated-orcid":false,"given":"Sujeeth","family":"Modaboyina","sequence":"additional","affiliation":[{"name":"Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6667-249X","authenticated-orcid":false,"given":"Sahil","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,9,3]]},"reference":[{"key":"2025082708565783000_14.9.e244099.1","first-page":"196","article-title":"Traumatic luxation of the eye ball Nepal","volume":"10","author":"Roka","year":"2018","journal-title":"J Ophthalmol"},{"key":"2025082708565783000_14.9.e244099.2","unstructured":"Janfaza P . Surgical anatomy of the head and neck. New York: Lippincott Williams & Wilkins, 2001."},{"key":"2025082708565783000_14.9.e244099.3","article-title":"Traumatic subluxation of the globe into the maxillary sinus","volume":"19","author":"Pelton","year":"1998","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082708565783000_14.9.e244099.4","first-page":"394","article-title":"One thousand consecutive cases of major facial injury","volume":"27","author":"Schultz","year":"1970","journal-title":"Rev Surg"},{"key":"2025082708565783000_14.9.e244099.5","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1097\/00006534-197703000-00007","article-title":"Severe traumatic oculo-orbital displacement","volume":"59","author":"Whitaker","year":"1977","journal-title":"Plast Reconstr Surg"},{"key":"2025082708565783000_14.9.e244099.6","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1076\/orbi.19.3.165.2661","article-title":"Traumatic globe luxation with optic nerve transection","volume":"19","author":"Bajaj","year":"2000","journal-title":"Orbit"},{"key":"2025082708565783000_14.9.e244099.7","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1097\/IOP.0b013e3181469411","article-title":"Traumatic globe luxation and enucleation caused by a human bite injury","volume":"23","author":"Hindman","year":"2007","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"2025082708565783000_14.9.e244099.8","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.74.9.571"},{"key":"2025082708565783000_14.9.e244099.9","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-229994","article-title":"Globe luxation following cow horn injury.","volume":"12","author":"Das","year":"2019","journal-title":"BMJ Case Rep"},{"key":"2025082708565783000_14.9.e244099.10","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.jaapos.2007.02.009","article-title":"Traumatic globe luxation in a 6-year-old girl playing with a tube of wrapping paper","volume":"11","author":"de Saint Sardos","year":"2007","journal-title":"J Aapos"},{"key":"2025082708565783000_14.9.e244099.11","doi-asserted-by":"publisher","DOI":"10.1097\/00002341-200207000-00006"},{"key":"2025082708565783000_14.9.e244099.12","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1097\/00063110-200112000-00016","article-title":"A case of traumatic globe luxation","volume":"8","author":"Alp","year":"2001","journal-title":"Eur J Emerg Med"},{"key":"2025082708565783000_14.9.e244099.13","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1097\/01.iop.0000199898.47043.99","article-title":"Bilateral traumatic globe subluxation","volume":"22","author":"Song","year":"2006","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"2025082708565783000_14.9.e244099.14","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1111\/j.1755-3768.1992.tb04900.x","article-title":"Traumatic globe luxation","volume":"70","author":"Zengin","year":"1992","journal-title":"Acta Ophthalmol"},{"key":"2025082708565783000_14.9.e244099.15","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1159\/000370043","article-title":"Bilateral traumatic globe luxation with optic nerve transection","volume":"5","author":"Tok","year":"2014","journal-title":"Case Rep Ophthalmol"},{"key":"2025082708565783000_14.9.e244099.16","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-231394","article-title":"Globe luxation, complex eyelid laceration and lost medial rectus: extreme complication of ocular trauma.","volume":"12","author":"Gaur","year":"2019","journal-title":"BMJ Case Rep"},{"key":"2025082708565783000_14.9.e244099.17","doi-asserted-by":"crossref","first-page":"145","DOI":"10.4103\/tjosr.tjosr_17_17","article-title":"Traumatic luxation of the globe: a novel simple treatment","volume":"55","author":"Rangarajan","year":"2017","journal-title":"TNOA J Ophthalmic Sci Res"},{"key":"2025082708565783000_14.9.e244099.18","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/S0161-6420(02)01768-2","article-title":"Attempted bilateral manual enucleation (gouging) during a physical assault","volume":"110","author":"Shneck","year":"2003","journal-title":"Ophthalmology"},{"key":"2025082708565783000_14.9.e244099.19","doi-asserted-by":"crossref","unstructured":"R.C.Gupta RCG , Gupta P . Complete globe protrusion post trauma: a case report. IOSR-JDMS;6:28\u20139.doi:10.9790\/0853-0652829","DOI":"10.9790\/0853-0652829"},{"key":"2025082708565783000_14.9.e244099.20","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.sjopt.2017.06.001","article-title":"Traumatic eye ball luxation: a stepwise approach to globe salvage","volume":"31","author":"Gupta","year":"2017","journal-title":"Saudi J Ophthalmol"},{"key":"2025082708565783000_14.9.e244099.21","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1097\/IOP.0b013e31803045b4","article-title":"Avulsion of the optic nerve with luxation of the eye after motor vehicle accident","volume":"23","author":"Lelli","year":"2007","journal-title":"Ophthalmic Plast Reconstr Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-244099","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:57:06Z","timestamp":1756310226000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-244099"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":21,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9,3]]},"published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1136\/bcr-2021-244099"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-244099","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}