Globe dislocation and optic nerve avulsion following all-terrain vehicle accidents

Amro Omari; Anaïs L Carniciu; Maya Desai; Olivia Schimmel; Dianne M Schlachter; Robert Folberg; Alon Kahana

doi:10.1016/j.ajoc.2022.101621

Globe dislocation and optic nerve avulsion following all-terrain vehicle accidents

Am J Ophthalmol Case Rep. 2022 Jun 16:27:101621. doi: 10.1016/j.ajoc.2022.101621. eCollection 2022 Sep.

Authors

Amro Omari^{1

2}, Anaïs L Carniciu^{2

3}, Maya Desai¹, Olivia Schimmel¹, Dianne M Schlachter^{2

3}, Robert Folberg^{1

2

4}, Alon Kahana^{1

2

5}

Affiliations

¹ Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA.
² Beaumont Eye Institute, Royal Oak, MI, USA.
³ Consultants in Ophthalmic and Facial Plastic Surgery, Southfield, MI, USA.
⁴ Department of Pathology, Beaumont Health, Royal Oak, MI, USA.
⁵ Kahana Oculoplastic and Orbital Surgery, Ann Arbor, MI, USA.

Abstract

Purpose: Open-air motor vehicles present unique trauma risks to the eyes and face. We describe two patients who suffered a crash while riding an all-terrain vehicle (ATV), leading to globe dislocation with optic nerve avulsion in order to raise awareness about the risks associated with ATV accidents.

Observations: In both cases, the injury was caused by high-speed trauma to the orbit involving a tree branch. One patient sustained a life threatening arrythmia requiring a short stay in the intensive care unit, and both patients required emergent surgical management and eventual socket reconstruction.

Conclusions and importance: These cases highlight the need for greater advocacy on behalf of rider safety. The authors encourage ophthalmologists to counsel patients who use ATVs to wear helmets, seatbelts, and protective eyewear to prevent these types of injuries in the future.

Keywords: All terrain vehicles; Globe dislocation; Optic nerve avulsion.

Publication types

Case Reports