Orbital and Sinonasal Complications of Hydrogel Scleral Buckle: A Case Report

The hydrogel scleral buckle is a hydrophilic implant that is characterized by progressive expansion and can present with secondary orbital changes. The authors present a unique case of hydrogel-induced erosion of the orbital roof into the frontal sinus, with formation of a sino-orbital communication that resulted in frontal sinusitis and adjacent cerebritis. The hydrogel material is radiologically characterized as a fluid-filled hypertense T2 mass with rim enhancement and peripheral calcification. Awareness of late orbital complications from the hydrogel material is important to distinguish this entity from other mimicking orbital pathologies.

Source: Ophthalmic Plastic and Reconstructive Surgery - November 1, 2022 Category: Opthalmology Tags: Case Reports Source Type: research