IP International Journal of Ocular Oncology and Oculoplasty

Spontaneous transpalpebral extrusion of solid silicone band: A case report

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Author Details: RC Gupta, RN Kushwaha, Kankambari Pandey, Parul Singh

Volume : 3

Issue : 1

Online ISSN : 2581-5016

Print ISSN : 2581-5024

Article First Page : 86

Article End Page : 87


Solid silicone band used in encirclage surgery for retinal reattachment may extrude rarely. Subsequent infection accelerates the process of extrusion. We describe here a case of 24 year old young female who presented to us with chief complaint of severe pain and extrusion of foreign body from her left eye. As per the patient’s record, she was operated for rhegmatogenous retinal detachment and underwent encirclage. On examination her left eye was covered with copious amount of pus and scab, on cleaning a foreign body which later was identified as exposed and infected solid wide silicone band eroding the full thickness upper eyelid. The patient was taken to operation theatre and explant was removed and patient was treated with antibiotics. After a week when infection was treated, the blepharoplasty was carried out. This case is unique in term of extrusion of explant which was spontaneous and involving full thickness upper eyelid. Integrity of the conjunctiva should be checked during routine follow up exams to exclude exposure of the implant in eye undergoing scleral buckling with wide 3600 encirclage silicone band.

Keywords: Blepharoplasty, Rhegmatogenous detachment, Solid silicone explants, Transpalpebral extrusion