The popping eye: An intriguing case of traumatic globe luxation coupled with a novel technique under topical anesthesia

Globe luxation, or the anterior displacement of the eye globe, is a rare clinical event. However, it poses a significant risk of irreversible vision loss, particularly when accompanied by very high intraocular pressure or traumatic optic nerve avulsion. Predisposing factors for globe luxation include eyes with shallow orbital sockets, floppy eyelid syndrome, and exophthalmos. While most instances are often caused by trauma, there have also been reports of spontaneous globe luxation. Most events of post-traumatic conditions are often linked to the damage or breakage of the bony orbit and optic nerve avulsion. Immediate action should be promptly initiated, as timely reduction leads to complete restoration of both anatomical and visual recovery in eyes that are otherwise healthy. We present a case of a 10-year-old girl who had traumatic globe luxation with signs of exposure keratitis after being hit by a bicycle break lever, without any damage to the optic nerve, orbit, or maxillofacial bones as confirmed on Magnetic Resonance Imaging (MRI) scan, who recovered completely after reposition of the globe using the innovative technique with Desmarre’s lid retractors and the blunt end of the lacrimal bone dissector under topical anesthesia in emergency room itself which is an unique case report and one of its kind.