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Case report
Traumatic avulsion of the globe with optic nerve transection: an unusual presentation
  1. Seema Meena,
  2. Vaishali Rakheja,
  3. Sulabh Sahu and
  4. Priyanka Rathore
  1. Ophthalmology, All India Institute of Medical Sciences Jodphur, Jodhpur, India
  1. Correspondence to Dr Priyanka Rathore; dr.priyanka.rathoredp{at}


Complete globe extrusion, whether traumatic or spontaneous, is a rare clinical entity and if associated with optic nerve avulsion, it has a worse visual outcome, though repositioning of the globe may be attempted. We report a case of road traffic accident, wherein the patient presented with an extrusion of the globe, along with a complete transection of the optic nerve, about 4 cm from the optic nerve head, with only a residual attachment to the orbital rim via the unsevered lateral conjunctival flap, where the enucleation was completed and the conjunctiva was sutured.

  • ophthalmology
  • visual pathway

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  • Contributors SM and PR had full access to all data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. VR, SS and PR were responsible for acquisition of data. SM provided administrative, technical and material support and supervised the study. All the authors were involved in study concept and design, analysis and interpretation of data, drafting of the manuscript and critical revision of the manuscript for important intellectual content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.