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Updated: Oct 1, 2026

Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
The wayward implant: orbital silicone plate extrusion associated with squamous epithelial downgrowth and infection
Dino D Klisovic1, Steven E Katz, Martin Lubow
1William H. Havener Eye Center, The Ohio State University, Columbus, Ohio, USA.
Abstract:
We report an unusual case of orbital implant migration in which the silicone plates were found to be enveloped in a pseudocapsule surprisingly infected and lined by squamous epithelium of probable conjunctival origin. An epithelial 'plug' found in the inferior fornix portion of the pseudocapsule might have been responsible for bacterial entry into the cavity. We discuss the literature regarding pseudocapsule formation around silicone implants and the phenomenon of capsular contracture. Both the infection and the epithelial downgrowth may have facilitated the implant migration.

