Extensive orbital inflammation in an anophthalmic socket: is the Bioceramic implant a bystander or a participant?

Autor: Cassie A. Cameron, Jessica Tong, Valerie Juniat, Sandy Patel, Deepak Dhatrak, Dinesh Selva
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: American Journal of Ophthalmology Case Reports, Vol 28, Iss , Pp 101721- (2022)
Druh dokumentu: article
ISSN: 2451-9936
DOI: 10.1016/j.ajoc.2022.101721
Popis: 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.
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