Extensive orbital inflammation in an anophthalmic socket: is the Bioceramic implant a bystander or a participant?
| Autor: | Cameron CA; Discipline of Ophthalmology and Visual Sciences, The University of Adelaide and the South Australian Institute of Ophthalmology, Adelaide, Australia., Tong J; Sydney Eye Hospital, 8 Macquarie St, Sydney, New South Wales, Australia., Juniat V; Discipline of Ophthalmology and Visual Sciences, The University of Adelaide and the South Australian Institute of Ophthalmology, Adelaide, Australia., Patel S; Department of Medical Imaging, Royal Adelaide Hospital, Adelaide, South Australia, Australia., Dhatrak D; Department of Anatomical Pathology, SA Pathology, Royal Adelaide Hospital, South Australia, Australia., Selva D; Discipline of Ophthalmology and Visual Sciences, The University of Adelaide and the South Australian Institute of Ophthalmology, Adelaide, Australia. |
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| Jazyk: | angličtina |
| Zdroj: | American journal of ophthalmology case reports [Am J Ophthalmol Case Rep] 2022 Oct 05; Vol. 28, pp. 101721. Date of Electronic Publication: 2022 Oct 05 (Print Publication: 2022). |
| DOI: | 10.1016/j.ajoc.2022.101721 |
| Abstrakt: | Purpose: Porous orbital implants are commonly used materials following enucleation or evisceration. Implant-associated inflammation is a rare but serious complication which may necessitate explantation. Observations: We report a case of a patient who developed extensive orbital inflammation six months after implantation of a vicryl (polyglactin 910) mesh-wrapped Bioceramic (aluminum oxide) spherical implant. An orbital biopsy demonstrated an extensive fibroinflammatory reaction with multinucleated giant cells. Removal of the implant resulted in complete resolution of symptoms. Conclusions and Importance: We surmise that the Bioceramic implant played a significant contributory role in this patient's orbital inflammation, a complication which has not been described previously. Competing Interests: The authors have no financial disclosures or conflicts of interest. (© 2022 The Authors. Published by Elsevier Inc.) |
| Databáze: | MEDLINE |
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