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PATIENT SAFETY

Ocular Globe Luxation Under General Anesthesia

Steven R. Clendenen, MD^*, and David A. Kostick, MD

From the Departments of *Anesthesiology, and Ophthalmology, Mayo Clinic, Jacksonville, Florida.

Address correspondence to Steven R. Clendenen, MD, Mayo Clinic, JAB 4035, 4500 San Pablo Rd., Jacksonville, FL 32224. Address e-mail to clendenen.steven{at}mayo.edu.

Abstract

We present a case of ocular globe luxation after general anesthesia. Upon completion of the surgery, the upper eyelid was retracted to examine for conjunctival edema, which resulted in globe luxation. The posterior aspect of the globe was visualized and a small tethering white structure ("check ligament") was observed. The upper lid was retracted, and the globe easily repositioned into the orbit. Ophthalmic sequelae would not be anticipated if the episode of globe luxation is brief. Anesthesiologists should be aware of the risk factors associated with globe luxation and know how to appropriately treat this complication.