Delayed orbital floor implant complications: Case report and review of the literature

Foreign body reaction to non-absorbable alloplastic orbital implants utilized for bony reconstruction are infrequently documented in the literature. We present the workup and surgical management of a giant cystic mass encapsulating a patient's alloplastic orbital implant, which was ultimately d...

Full description

Saved in:
Bibliographic Details
Published in:American journal of ophthalmology case reports 2024-06, Vol.34, p.102047, Article 102047
Main Authors: Soetikno, Brian, Losorelli, Steven, Charoenkijkajorn, Chaow, Nayak, Jayakar V., Homer, Natalie A.
Format: Article
Language:English
Subjects:
Cyst
Foreign body reaction
Implant
Nylon foil
Orbital floor reconstruction
Orbital fracture
Trauma
Video
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Foreign body reaction to non-absorbable alloplastic orbital implants utilized for bony reconstruction are infrequently documented in the literature. We present the workup and surgical management of a giant cystic mass encapsulating a patient's alloplastic orbital implant, which was ultimately deemed to be a result of foreign body reaction. A 41-year-old male patient with distant history of a right orbital floor fracture had undergone repair with the placement of a nylon foil implant. The patient presented twenty years later with progressive ipsilateral globe proptosis and was found to have a giant inferior orbital cyst. Surgical exploration and removal of the implant and capsule were performed. Histopathology confirmed a delayed foreign body reaction around the patient's alloplastic implant. Alloplastic implants may result foreign body reaction and cyst encapsulation as a delayed complication.
ISSN:2451-9936
2451-9936
DOI:10.1016/j.ajoc.2024.102047