Case Report

Meat Hook–Associated Occupational Eye Injury Presenting with Globe Luxation, Optic Nerve Avulsion, and Open Globe Injury

Volume: 7 December 31, 2025

Meat Hook–Associated Occupational Eye Injury Presenting with Globe Luxation, Optic Nerve Avulsion, and Open Globe Injury

Abstract

Introduction:Traumatic globe luxation is a rare but vision threatening condition that typically results from high energy orbital trauma and may be accompanied by severe complications such as extraocular muscle rupture, open globe injury, and optic nerve avulsion. Case presentation: We report a unique case of occupational penetrating trauma caused by a meat hook, resulting in globe subluxation, medial rectus rupture, posterior open globe injury, and complete optic nerve avulsion. Emergency lateral canthotomy and cantholysis were performed, followed by staged surgical exploration, repair of the scleral defect, reattachment of the medial rectus muscle, scleral fixation of the avulsed optic nerve stump, and successful repositioning of the globe into the orbit. Despite the absence of visual recovery due to optic nerve avulsion, postoperative follow up demonstrated restoration of anatomical stability, improvement in ocular motility, and satisfactory cosmetic outcome. Conclusion: This case represents one of the most severe forms of traumatic globe luxation reported in the literature and highlights the importance of early decompression, systematic exploration, and reconstructive efforts even in the presence of devastating optic nerve injury.

Keywords

References

  1. Thieringer FM, Desai A, Dendukuri G, Naik M. Globe intussusception following orbital trauma: Case series and review of the literature. Craniomaxillofac Trauma Reconstr. 2025;18(4):44.
  2. Kumari E, Chakraborty S, Ray B. Traumatic globe luxation: A case report. Indian J Ophthalmol. 2015;63(8):682–4.
  3. Kwan Joo Ern K, Muhammed J, Amin NH, Jameelah S. Traumatic globe luxation and optic nerve avulsion: A case report and literature review. Cureus. 2024;16(1).
  4. Gupta H, Natarajan S, Vaidya S, Gupta S, Shah D, Merchant R, et al. Traumatic eyeball luxation: A stepwise approach to globe salvage. Saudi J Ophthalmol. 2017;31(4):260–4.
  5. Al Amry M, Alhijji L, Elkhamary SM, Mousa A, Alghadeer H, Algaeed A. Optic nerve avulsion: Pattern and etiologies at a tertiary eye care center in Saudi Arabia—An 8#year retrospective study. Clin Ophthalmol. 2023;17:2633–41.
  6. Thrishulamurthy CJ, Ahmed HS, Eswaran V, Venkataswamy SB. Outcomes of globe repositioning procedures in patients with globe luxation: A retrospective case series. Indian J Ophthalmol. 2025;73(8):1202–7.
  7. EyeWiki. Traumatic Globe Luxation. Available at: https://eyewiki.org/Traumatic_Globe_Luxation. . Accessed December 2025.
  8. Nuñez Rivera CJ, Valle Ordóñez A. Traumatic luxation of the ocular globe: A case report. Rev Oftálmica. 2024;26:19–23.

Details

Primary Language

English

Subjects

Ophthalmology

Journal Section

Case Report

Publication Date

December 31, 2025

Submission Date

December 19, 2025

Acceptance Date

December 28, 2025

Published in Issue

Year 2025 Volume: 7

APA
Ay, T., & Akcan, A. (2025). Meat Hook–Associated Occupational Eye Injury Presenting with Globe Luxation, Optic Nerve Avulsion, and Open Globe Injury. Clinical and Experimental Ocular Trauma and Infection, 7, 6-12. https://izlik.org/JA93UY69RL
AMA
1.Ay T, Akcan A. Meat Hook–Associated Occupational Eye Injury Presenting with Globe Luxation, Optic Nerve Avulsion, and Open Globe Injury. CEOTI. 2025;7:6-12. https://izlik.org/JA93UY69RL
Chicago
Ay, Tolga, and Ahmet Akcan. 2025. “Meat Hook–Associated Occupational Eye Injury Presenting With Globe Luxation, Optic Nerve Avulsion, and Open Globe Injury”. Clinical and Experimental Ocular Trauma and Infection 7 (December): 6-12. https://izlik.org/JA93UY69RL.
EndNote
Ay T, Akcan A (December 1, 2025) Meat Hook–Associated Occupational Eye Injury Presenting with Globe Luxation, Optic Nerve Avulsion, and Open Globe Injury. Clinical and Experimental Ocular Trauma and Infection 7 6–12.
IEEE
[1]T. Ay and A. Akcan, “Meat Hook–Associated Occupational Eye Injury Presenting with Globe Luxation, Optic Nerve Avulsion, and Open Globe Injury”, CEOTI, vol. 7, pp. 6–12, Dec. 2025, [Online]. Available: https://izlik.org/JA93UY69RL
ISNAD
Ay, Tolga - Akcan, Ahmet. “Meat Hook–Associated Occupational Eye Injury Presenting With Globe Luxation, Optic Nerve Avulsion, and Open Globe Injury”. Clinical and Experimental Ocular Trauma and Infection 7 (December 1, 2025): 6-12. https://izlik.org/JA93UY69RL.
JAMA
1.Ay T, Akcan A. Meat Hook–Associated Occupational Eye Injury Presenting with Globe Luxation, Optic Nerve Avulsion, and Open Globe Injury. CEOTI. 2025;7:6–12.
MLA
Ay, Tolga, and Ahmet Akcan. “Meat Hook–Associated Occupational Eye Injury Presenting With Globe Luxation, Optic Nerve Avulsion, and Open Globe Injury”. Clinical and Experimental Ocular Trauma and Infection, vol. 7, Dec. 2025, pp. 6-12, https://izlik.org/JA93UY69RL.
Vancouver
1.Tolga Ay, Ahmet Akcan. Meat Hook–Associated Occupational Eye Injury Presenting with Globe Luxation, Optic Nerve Avulsion, and Open Globe Injury. CEOTI [Internet]. 2025 Dec. 1;7:6-12. Available from: https://izlik.org/JA93UY69RL