Department of Ophthalmology, Indiana University School of Medicine, Indianapolis, IN, U.S.A.
Oculofacial Plastic and Orbital Surgery, Indianapolis, IN, U.S.A.
Ophthalmic Plast Reconstr Surg. 2022;38(6):e170-e173. doi: 10.1097/IOP.0000000000002224. Epub 2022 Jun 14.
Orbital implant extrusion is a known complication following evisceration and enucleation. In this case report, we present a 45-year-old woman who presented with a left silicone implant exposure and infection 2 years following evisceration with saddle nose on examination. CT of the maxillofacial bones without contrast showed bilateral soft tissue infiltration around the superior recti muscles, as well as a nasal septum perforation from extensive sinus disease. Left orbitotomy revealed a small fibrotic mass near the orbital roof. Biopsy and serology results were consistent with granulomatosis with polyangiitis.
眼球摘除术后眶内植入物脱出是一种已知的并发症。本病例报告介绍了一位 45 岁女性，在左眼内容剜除术后 2 年出现左侧硅胶植入物暴露和感染，同时伴有鞍鼻。面颅骨 CT 平扫加增强未见明显异常，仅提示双侧上直肌周围软组织浸润，以及广泛鼻窦病变导致鼻中隔穿孔。左眼内容剜除术后发现眶顶附近有一小的纤维性肿块。活检和血清学结果符合肉芽肿伴多血管炎。
