Sharifi Mohammad, Ansari Astaneh Mohammad Reza
Eye Research Center, Mashhad University of Medical Science, Mashhad, Iran.
Case Rep Ophthalmol. 2020 Jun 15;11(2):217-221. doi: 10.1159/000507608. eCollection 2020 May-Aug.
A 7-year-old female presented with left upper eyelid swelling following pars plana deep vitrectomy and silicone oil injection 1 year before admission. The left upper eyelid had mechanical ptosis and on palpation there was a lobulated mobile mass in the lateral portion of eyelid. Computed topography scan showed multiple isodense masses with silicone oil in vitreous in the eyelid and orbit; histopathology after excisional biopsy proved the silicone oil migration. Silicone oil migration followed by vitrectomy may be due to leakage from the site of initial wounds or vitrectomy ports. It is important to suspect extraocular silicone oil migration in patients who presented with eyelid mass-like lesions with a history of silicone oil injection following pars plana deep vitrectomy.
一名7岁女性在入院前1年接受了平坦部深层玻璃体切除术并注入硅油后出现左上眼睑肿胀。左上眼睑有机械性上睑下垂,触诊时在眼睑外侧部分可触及一个分叶状可移动肿块。计算机断层扫描显示眼睑和眼眶内玻璃体中有多个等密度肿块伴硅油;切除活检后的组织病理学证实了硅油迁移。玻璃体切除术后出现硅油迁移可能是由于最初伤口部位或玻璃体切除端口渗漏所致。对于有平坦部深层玻璃体切除术后注入硅油病史且出现眼睑肿块样病变的患者,怀疑眼外硅油迁移很重要。