American Journal of Ophthalmology
Volume 140, Issue 5 , Pages 934-936, November 2005

Blepharoptosis and Upper Eyelid Swelling Due to Lipogranulomatous Inflammation Caused by Silicone Oil

  • Diane L.T. Donker, MD

      Affiliations

    • Oculoplastic and Orbital Service, The Rotterdam Eye Hospital, Rotterdam
    • ,
  • Dion Paridaens, MD

      Affiliations

    • Oculoplastic and Orbital Service, The Rotterdam Eye Hospital, Rotterdam
    • ,
  • Cornelia M. Mooy, MD

      Affiliations

    • Pathology Laboratory Dordrecht and Pathology Department Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands.
    • ,
  • Willem A. van den Bosch, MD

      Affiliations

    • Oculoplastic and Orbital Service, The Rotterdam Eye Hospital, Rotterdam
    • Corresponding Author InformationInquiries to Willem van den Bosch, MD, Oculoplastic and Orbital Service, Rotterdam Eye Hospital, PO Box 70030, 3000 LM Rotterdam, The Netherlands; fax: +31(0)10 4111747

Accepted 11 May 2005. published online 17 August 2005.

Purpose

Report of two patients who presented with unilateral upper eyelid swelling and ptosis 1 and 8 years, respectively, after vitreoretinal surgery with intraocular silicone oil.

Design

Report of two cases.

Methods

In the first case, the oil was still present in the eye. In the second case, the intraocular oil and an epibulbar buckle had been removed 7 years earlier.

Results

Histopathology of upper eyelid skin and preaponeurotic fat revealed lipogranulomatous inflammation.

Conclusions

Leakage of intraocular silicone oil into the eyelid tissues may cause an inflammatory reaction resulting in eyelid swelling and ptosis. We presume that in the first patient, silicone oil had leaked from the eye during or after surgery; in the second patient, silicone oil had probably been left behind in the space previously occupied by the epibulbar buckle.

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PII: S0002-9394(05)00607-0

doi:10.1016/j.ajo.2005.05.028

American Journal of Ophthalmology
Volume 140, Issue 5 , Pages 934-936, November 2005

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