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Draining cutaneous fistula associated with infection of hydroxyapatite orbital implant
B J Glasgow1, D A Weinberg, N Shorr
1Department of Ophthalmology, Jules Stein Eye Institute UCLA School of Medicine, USA.
Ophthalmic Plastic and Reconstructive Surgery
|June 1, 1996
Abstract:
The implantation of an orbital hydroxyapatite implant was complicated by conjunctival dehiscence, cutaneous fistula formation, and infection with Staphylococcus aureus. Pathologic examination of the sphere 2 years after its implantation revealed reduction in the size of the implant, peripheral lamellar bone formation and central necrosis. This is the first report of this constellation of complications with hydroxyapatite spheres positioned in the orbit. The 2-year interval between implantation and removal of the sphere is the longest reported in a case with histopathologic analysis.