Transpalpebral migration of solid silicone explant in a phthisical globe

Nikunj J Shah1, Subhadra Jalali, Vinay A Shah

  • 1Smt. Kanuri Santhamma Retina-Vitreous Center, L.V. Prasad Eye Institute, Hyderabad, India.

Insights

A rare case of a silicone implant migrating through the eyelid in a damaged eye was successfully treated. Surgical removal, wound repair, and antibiotics resolved the polymicrobial infection and restored the eye.

Area of Science:

  • Ophthalmology
  • Medical Case Reports

Background:

  • Solid silicone explants are used in ocular prosthesis.
  • Complications can include migration and infection, particularly in eyes with compromised structures.

Observation:

  • A rare instance of transpalpebral migration of a solid silicone explant was observed.
  • The affected eye was phthisical, indicating severe damage.

Findings:

  • The migration was associated with a polymicrobial infection.
  • Complete resolution was achieved through surgical explant removal, wound repair, and targeted antibiotic therapy.

Implications:

  • This case highlights the importance of vigilant monitoring for explant migration.
  • Prompt surgical intervention and appropriate antibiotic treatment are crucial for managing such rare complications in ophthalmology.

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