Late-onset orbital hematoma secondary to alloplastic orbital implant mimicking transient ischemic attacks. Ophthalmic Plast Reconstr Surg 2011;27(1):e18-20
Date
08/12/2010Pubmed ID
20700069DOI
10.1097/IOP.0b013e3181df6aa5Scopus ID
2-s2.0-78751644065 (requires institutional sign-in at Scopus site) 10 CitationsAbstract
Alloplastic orbital implants are commonly used by surgeons in the repair of orbital wall defects. They are generally well tolerated, but they may cause late-onset complications. The authors present the case of a 65-year-old man with a history of left orbital floor fracture repair 25 years prior using a silicone orbital implant. He presented with a 1-year history of recurrent binocular vertical diplopia previously diagnosed as transient ischemic attacks. The patient subsequently presented with symptoms suggestive of orbital cellulitis, and after failure to respond to antibiotic therapy, he underwent surgical removal of the implant, revealing a large orbital hematoma. This case represents an unusual presentation of a known complication associated with orbital implant placement in a patient with previously diagnosed cerebrovascular disease as the cause of his neuroophthalmologic symptoms.
Author List
Gupta S, Aakalu VK, Ahmad AZAuthor
Vinay Kumar Aakalu MPH, MD Chair, Professor in the Ophthalmology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedBiocompatible Materials
Device Removal
Diagnosis, Differential
Diplopia
Hematoma
Humans
Ischemic Attack, Transient
Magnetic Resonance Imaging
Male
Orbital Fractures
Orbital Implants
Retrobulbar Hemorrhage
Silicone Elastomers
Tomography, X-Ray Computed
