bilateral traumatic globe luxation after traffic accident: a case report

Globe luxation resulting from traumatic incidents is an uncommon occurrence, with bilateral cases being particularly rare. this report presents a rare case of severe sinonasal trauma with bilateral globe luxation following a traffic accident. a 15-year-old boy was admitted with multiple traumas. he was riding a vehicle without helmet. a notable brain pulsation was observed in a wide and deep cut at the glabella. bilateral globes were completely dislocated without perforation, and both pupils were dilated and nonreactive. computed tomography scan showed multiple fractures of ethmoidal and nasal bones, in addition to the medial wall of the left orbit. the globe repositioning was performed after the decompression of the orbital wall. the patient remained stable after four days, with no occurrence of meningitis or cellulitis. however, complete optic nerve avulsion resulted in no light perception. bilateral tarsorrhaphy was conducted to safeguard the globes. in conclusion, managing life-threatening conditions stakes precedence in cases of bilateral optic nerve avulsion.