Chronic, Symptomatic Orbital Inflammation Resulting From Retained Bone Wax. Issue 6 (November 2019)

• Record Type: Journal Article
• Authors: Thangamathesvaran, Loka; Mirani, Neena; Turbin, Roger; Langer, Paul D.
• Is Part Of: Ophthalmic plastic and reconstructive surgery. Volume 35:Issue 6(2019)
• Publication Date: 2019-11
• Subjects: Eye -- Surgery -- Periodicals; Ophthalmic plastic surgery -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Ophthalmologic Surgical Procedures -- Periodicals; Ophthalmology -- Periodicals; Surgery -- Periodicals; 617.70592
• DOI: 10.1097/IOP.0000000000001471
• Languages: English
• ISSNs: 0740-9303

Abstract

Abstract : A 58-year-old man presented with a 9-month history of a chronically draining surgical wound and low-grade periorbital inflammation following a right lateral orbitotomy. Imaging of the right orbit revealed a peculiar lesion in the right lateral orbit that was hypointense on both T1- and T2-weighted MRI with peripheral enhancement. Exploratory orbitotomy and biopsy established the diagnosis of a chronic foreign body inflammatory reaction to bone wax; symptoms resolved following evacuation of the retained foreign material. A 58-year-old man developed a chronic, symptomatic, inflammatory reaction to bone wax following a lateral orbitotomy; only once previously has symptomatic orbital inflammation following orbital surgery as a result of bone wax been reported.