Orbital textiloma: Two case reports and a literature review

PurposeThis report presents two cases of orbital textiloma resulting from retained surgical gauze.Case descriptionBoth patients presented with postoperative orbital inflammation unresponsive to medical treatment: one eight weeks after excision of an orbital cavernous hemangioma, and the other six months following surgical repair of an orbital floor fracture. CT scans of the orbit revealed well-defined lesions with a heterogeneous center. An exploratory orbitotomy retrieved a large piece of gauze that was firmly adhered to the globe and the adjacent extraocular muscle. Both patients experienced significant postoperative improvement, with no sequelae.ConclusionsOrbital textiloma, though rare, should be considered a potential cause of persistent postoperative orbital inflammation. Prompt imaging and subsequent surgical removal are crucial for accurate diagnosis and effective treatment.