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Spontaneous Globe Luxation Associated With Floppy Eyelid Syndrome and Shallow Orbits
George Alexandrakis, MD;
David T. Tse, MD;
Warren J. Chang, MD
Miami, Fla
Arch Ophthalmol. 1999;117:138-139.
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A 56-YEAR-OLD man complained of his left eye "popping out" 3 times during the past 2 months while asleep. This caused him to awaken; however, the globe would return to its normal position spontaneously. The patient slept mostly on his left side. He denied ocular pain, decreased vision, or a notable medical history.
Ophthalmic examination showed a visual acuity of 20/25 OU. Extraocular movements, pupils, intraocular pressures, slitlamp, and funduscopic examination findings showed no abnormalities. Hertel measurements were 18-in in both eyes. There was no facial asymmetry (Figure 1 and Figure 2), but marked floppy eyelids with papillary changes were noted (Figure 3). While retracting the eyelid superotemporally, the globe luxated spontaneously (Figure 4 and Figure 5). This was the same phenomenon the patient noticed on previous occasions. Orbital echographic scan revealed normal . . . [Full Text of this Article] COMMENT
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