The jumping globe: A case of spontaneous globe luxation in craniosynostosis
A 6 month old baby diagnosed as a case of Pfeiffer syndrome with proptosis and shallow orbits presented with spontaneous luxation of the left eye following an episode of excessive crying. Patient was put on injection mannitol, injection dexamethasone and emergency globe repositioning was planned, bu...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Kerala Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.kjophthal.com/article.asp?issn=0976-6677;year=2023;volume=35;issue=3;spage=307;epage=309;aulast=Kishan |
| _version_ | 1827300232499560448 |
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| author | Divya Kishan Anuja Sathar C S Sheeba V Sahasranamam |
| author_facet | Divya Kishan Anuja Sathar C S Sheeba V Sahasranamam |
| author_sort | Divya Kishan |
| collection | DOAJ |
| description | A 6 month old baby diagnosed as a case of Pfeiffer syndrome with proptosis and shallow orbits presented with spontaneous luxation of the left eye following an episode of excessive crying. Patient was put on injection mannitol, injection dexamethasone and emergency globe repositioning was planned, but the globe went in spontaneously after 3 hours. The patient was followed up and ophthalmological evaluation showed visual acuity fixing and following light in both eyes, dolichocephalic head, hypertelorism, proptosis, inadequate lid closure, clear cornea and no evidence of exposure keratitis, pupil reacting to light, fundus normal both eyes, and was treated with lubricant eye drops, eye ointment and taping of lids at night. The patient was admitted for planning craniosynostosis surgery (fronto orbital advancement) but had another episode of spontaneous luxation which did not subside with medical management. External ventricular drainage was done by neurosurgeon and decreased the intra cranial tension and then globe was repositioned and did temporary tarsorrhaphy. Fronto orbital advancement was then done and it showed very shallow orbits intraoperatively. Delta resorbable implant system was used and lateral tarsorrhaphy was revised. |
| first_indexed | 2024-04-24T15:49:46Z |
| format | Article |
| id | doaj.art-ef856f0ee2b14699a15d30a66fc22cba |
| institution | Directory Open Access Journal |
| issn | 0976-6677 |
| language | English |
| last_indexed | 2024-04-24T15:49:46Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Kerala Journal of Ophthalmology |
| spelling | doaj.art-ef856f0ee2b14699a15d30a66fc22cba2024-04-01T12:58:19ZengWolters Kluwer Medknow PublicationsKerala Journal of Ophthalmology0976-66772023-01-0135330730910.4103/kjo.kjo_86_23The jumping globe: A case of spontaneous globe luxation in craniosynostosisDivya KishanAnuja SatharC S SheebaV SahasranamamA 6 month old baby diagnosed as a case of Pfeiffer syndrome with proptosis and shallow orbits presented with spontaneous luxation of the left eye following an episode of excessive crying. Patient was put on injection mannitol, injection dexamethasone and emergency globe repositioning was planned, but the globe went in spontaneously after 3 hours. The patient was followed up and ophthalmological evaluation showed visual acuity fixing and following light in both eyes, dolichocephalic head, hypertelorism, proptosis, inadequate lid closure, clear cornea and no evidence of exposure keratitis, pupil reacting to light, fundus normal both eyes, and was treated with lubricant eye drops, eye ointment and taping of lids at night. The patient was admitted for planning craniosynostosis surgery (fronto orbital advancement) but had another episode of spontaneous luxation which did not subside with medical management. External ventricular drainage was done by neurosurgeon and decreased the intra cranial tension and then globe was repositioned and did temporary tarsorrhaphy. Fronto orbital advancement was then done and it showed very shallow orbits intraoperatively. Delta resorbable implant system was used and lateral tarsorrhaphy was revised.http://www.kjophthal.com/article.asp?issn=0976-6677;year=2023;volume=35;issue=3;spage=307;epage=309;aulast=Kishancraniosynostosisglobe luxationpfeiffer syndrome |
| spellingShingle | Divya Kishan Anuja Sathar C S Sheeba V Sahasranamam The jumping globe: A case of spontaneous globe luxation in craniosynostosis Kerala Journal of Ophthalmology craniosynostosis globe luxation pfeiffer syndrome |
| title | The jumping globe: A case of spontaneous globe luxation in craniosynostosis |
| title_full | The jumping globe: A case of spontaneous globe luxation in craniosynostosis |
| title_fullStr | The jumping globe: A case of spontaneous globe luxation in craniosynostosis |
| title_full_unstemmed | The jumping globe: A case of spontaneous globe luxation in craniosynostosis |
| title_short | The jumping globe: A case of spontaneous globe luxation in craniosynostosis |
| title_sort | jumping globe a case of spontaneous globe luxation in craniosynostosis |
| topic | craniosynostosis globe luxation pfeiffer syndrome |
| url | http://www.kjophthal.com/article.asp?issn=0976-6677;year=2023;volume=35;issue=3;spage=307;epage=309;aulast=Kishan |
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