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Late orbital haemorrhage around alloplastic orbital floor implants: a case series and review
Jagjit Singh Gilhotra1, Alan A McNab, Penny McKelvie
1Orbital, Plastic and Lacrimal Unit, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.
Background:
Alloplastic implants have been used to repair orbital wall fractures and correct anophthalmic enophthalmos (or volume deficiency in an anophthalmic socket). Orbital haemorrhage is a rare complication of these implants.
Method:
A retrospective review of patient files of two consultant oculoplastic surgeons.
Results:
Four cases of orbital haemorrhage following alloplastic implants were identified. The haemorrhages occurred 5-18 years after surgery, and occurred within the pseudocapsule of the implant. In one case, recurrent haemorrhages were noted.
Conclusion:
Although rare, orbital haemorrhage is a potential complication of alloplastic orbital floor implants, which may present many years after surgery.

