Periprosthetic Bleeding 18 Years Post-Silicone Reconstruction of the Orbital Floor

Background:Periprosthetic orbital haemorrhage is an uncommon complication of the alloplastic implants used in post-traumatic orbital floor repair. The small case series or individual reports provide no definite causative explanation for this delayed bleeding around silicone implants. It is likely th...

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Bibliographic Details
Published in:Orbit (Amsterdam) 2011-10, Vol.30 (5), p.249-251
Main Authors: Ilie, Vlad Ionut, Ilie, Victor George, Quarmby, Craig, Lefter, Mihaela
Format: Article
Language:English
Subjects:
Bone Plates
Follow-Up Studies
Fracture Fixation, Internal - instrumentation
Fracture Fixation, Internal - methods
Humans
Middle Aged
Orbital Fractures - diagnostic imaging
Orbital Fractures - surgery
Prostheses and Implants - adverse effects
Reconstructive Surgical Procedures - adverse effects
Reconstructive Surgical Procedures - methods
Reoperation - methods
Retrobulbar Hemorrhage - diagnostic imaging
Retrobulbar Hemorrhage - etiology
Retrobulbar Hemorrhage - surgery
Silicone Elastomers - pharmacology
Time Factors
Tomography, X-Ray Computed - methods
Treatment Outcome
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Summary:Background:Periprosthetic orbital haemorrhage is an uncommon complication of the alloplastic implants used in post-traumatic orbital floor repair. The small case series or individual reports provide no definite causative explanation for this delayed bleeding around silicone implants. It is likely that it is related to the disruption of fine capillaries within the pseudocapsule surrounding the implant, since the material does cause low-grade irritation with evidence of chronic inflammation. Case report: We report the case of a patient who developed a spontaneous periprosthetic bleeding 18 years' post-silicone sheet reconstruction of the orbital floor. Results: Urgent removal of the implant insured prompt resolution of all symptoms and no further problem during the 2-year follow-up. Conclusion: This report emphasizes that periprosthetic orbital haemorrhage can occur years after the initial repair. Awareness of this rare complication allows for prompt diagnosis, decreasing the possibility of permanent damage of the orbital content. The removal of implant is necessary to relieve the symptoms and prevent potential infective complications.
ISSN:0167-6830
1744-5108
DOI:10.3109/01676830.2011.580036