Galindo-Ferreiro A, Elkhamary SM, Maktabi A, Galvez-Ruiz A, Schellini SA. Chronic Orbital Inflammation Associated to Hydroxyapatite Implants in Anophthalmic Sockets.
Case Rep Ophthalmol 2018. [PMID:
29515429 PMCID:
PMC5836204 DOI:
10.1159/000485498]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Purpose
We report 6 patients who received a hydroxyapatite (HA) orbital implant in the socket and developed chronic orbital inflammation unresponsive to conventional medical therapy.
Case Reports
We assisted 6 cases (4 males, 2 females) who received an HA orbital implant in the socket between 2015 and 2016 at King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia, and developed chronic orbital inflammation with chronic discharge, redness, and pain (onset from weeks to over 2 decades after surgery). Computed tomography evaluation indicated inflammation in the orbital tissues, and histological examination showed a foreign body granulomatous reaction mainly localized around and blanching the HA implant. The condition was unresponsive to usual medical treatment and was resolved immediately after implant removal.
Conclusions
Chronic inflammation can occur decades after placement of an HA implant in the orbit and can be successfully treated with implant removal.
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