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Bilateral Orbital Rim Osteophytic Growths in a Swimmer.

Elissa Gorman1, Rachel Reistroffer1, Evan E Afshin2

  • 1Fifth Avenue Associates, New York.

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Summary

Chronic swimming goggle use may lead to rare bony growths around the eye socket. This case report details a patient with periorbital osteophytes and suggests a mechanism for this bone reactivity.

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Area of Science:

  • Ophthalmology
  • Dermatology
  • Orthopedics

Background:

  • Bilateral osteophytic periorbital rim bony prominences are uncommon.
  • A 65-year-old woman with a history of prolonged swimming goggle use presented with these growths.
  • The osteophytes were located around the supraorbital nerve outlet.

Purpose of the Study:

  • To present a novel case of bilateral osteophytic periorbital rim bony prominences.
  • To propose a potential mechanism linking chronic swimming goggle use to bony reactivity in the periorbital region.

Main Methods:

  • Case report of a 65-year-old female patient.
  • Surgical intervention involving unilateral removal and contouring of the periorbital rim via a lid crease incision.
  • Histopathological examination of the excised lesion.

Main Results:

  • The osteophytic growths were observed to surround the supraorbital nerve outlet.
  • Biopsy findings confirmed hyperostotic growth within the soft tissue.
  • Surgical removal and contouring were performed through a lid crease incision.

Conclusions:

  • This case highlights an unusual association between chronic swimming goggle use and the development of periorbital osteophytes.
  • The findings suggest that prolonged mechanical pressure or irritation from goggles may induce hyperostotic bone formation.
  • Further research is warranted to elucidate the precise mechanism of bony reactivity in response to chronic goggle wear.