Introduction: Globe preservation is usually preferred in globe luxation cases due to its psychological benefit and better cosmetic or prosthetic rehabilitation. Case Illustration: A female teenager came with protruding left eye 1 day after a traffic accident. The patient was conscious with normal vital signs. The left eye was luxated anteriorly with full-thickness eyelid laceration, rupture of lacrimal canaliculi, and exposed area of extraocular muscles. The vision was no light perception. No orbital fracture and no optic nerve avulsion showed on the CT scan. Globe was intact, but all extraocular muscles were not identifiable. Under general anesthesia, lateral canthotomy and cantholysis were done, then the globe was repositioned back into the orbit. Eyelid lacerations were repaired, and finished by temporary blepharorrhaphy. Conclusion: Eyeball saving was chosen in this case where the end result showed a successfully repositioned globe maintained by temporary blepharorrhaphy. Eyeball conservation is preferred even if the visual prognosis is poor and the eye could become phthisical.

globe reposition

Traumatic globe luxation

canthotomy cantholysis