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
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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