Cosmetic Salvage of a Blind Traumatically Luxated Eye

A 61-year-old man emergently presented with right globe luxation, extensive facial bone fractures, and facial lacerations after being run over by a horse-drawn disc tiller (Fig A). The globe was intact, the optic nerve was on stretch, and partial remnants of rectus muscles were observed. The globe was repositioned by suturing the detached skirt of conjunctiva back to the limbus, followed by a permanent lateral tarsorrhaphy for the extensive residual proptosis (Fig B). Seven weeks postoperatively (Fig C), the patient’s vision remained no light perception. He retained some extraocular motility, had minimal signs of exposure keratopathy, and was without pain (Magnified version of Fig A-C is available online at www.aaojournal.org).