Orbital, eyelid, and nasopharyngeal silicone oil granuloma presenting as ptosis & pseudo-xanthelasma
Autor: | Kuldev Singh, Steven R. Sanislo, Benjamin P. Erickson, Matthew A Powers, Edward H. Wood, Andrea L. Kossler |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
genetic structures Glaucoma drainage implant Silicone granuloma Glaucoma valve Baerveldt 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Silicone Ptosis Silicone oil lcsh:Ophthalmology Case report medicine Unilateral ptosis business.industry Xanthelasma technology industry and agriculture medicine.disease eye diseases Surgery Ophthalmology stomatognathic diseases medicine.anatomical_structure chemistry lcsh:RE1-994 030221 ophthalmology & optometry Eyelid Foreign body granuloma sense organs medicine.symptom business Orbit 030217 neurology & neurosurgery |
Zdroj: | American Journal of Ophthalmology Case Reports, Vol 11, Iss, Pp 45-48 (2018) American Journal of Ophthalmology Case Reports |
ISSN: | 2451-9936 |
Popis: | Purpose: To highlight the presentation and management of a patient with eyelid, orbital and nasopharyngeal silicone oil migration through a glaucoma drainage implant presenting as pseudo-xanthelasma and ptosis. Observations: A 68-year male presented with unilateral ptosis and presumed xanthelasma. He had a history of glaucoma drainage implant surgery, pseudophakia, and multiple retinal detachment repairs with silicone oil. During ptosis repair it was discovered that his presumed xanthelasma was in fact an eyelid silicone granuloma. Additional work up revealed silicone infiltration of the eyelids, orbits, and nasopharynx, resulting from emulsified silicone oil leakage through his glaucoma valve implant. Conclusions and Importance: Silicone oil may emulsify with time, with potential egress via a glaucoma filtration device. Clinicians should be alert for eyelid, orbital and sinonasal findings that may indicate occult migration. Keywords: Silicone oil, Xanthelasma, Orbit, Foreign body granuloma, Baerveldt, Glaucoma drainage implant |
Databáze: | OpenAIRE |
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