At the RANZCO NZ branch meeting, a poster from Dunedin’s Drs Theo Sutedja and Chris Arthur, plus Taranaki’s Drs Simon Nicholas and Albie Covello, detailed the case of a 40-year-old woman who developed spontaneous left globe subluxation after rubbing her eye.
Their poster, ‘Emergency lateral canthotomy and cantholysis for acute globe subluxation’, detailed the rare condition in which the globe protrudes beyond the eyelids, causing pain, vision loss and restricted eye movements.
The patient presented with severe pain and acute vision loss, with the left globe positioned outside the orbit, visual acuity reduced to hand movements, intraocular pressure raised to 39mmHg, restricted extraocular movements, left relative afferent pupillary defect and marked lagophthalmos, they said. She had hypertension and a BMI of 28kg/m², with no previous ocular disease, trauma or similar episodes.
