Diffuse siliconoma of the eyelid

Soon, Alexander K; Brownstein, Seymour; Gilberg, Steven; Tang, Tina

doi:10.1016/j.jcjo.2018.08.003

Cited by 4 publications

(6 citation statements)

References 11 publications

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“…However, there are a few case reports of postoperative ptosis due to migration of silicone oil into the upper eyelid. 17–23 It usually occurs between 3 and 19 years after the procedure and is associated with eyelid inflammatory signs such as erythema and swelling which is not consistent with the series. 17–23…”

Section: Discussionmentioning

confidence: 82%

“…17–23 It usually occurs between 3 and 19 years after the procedure and is associated with eyelid inflammatory signs such as erythema and swelling which is not consistent with the series. 17–23…”

Section: Discussionmentioning

confidence: 82%

“…However, there are a few case reports of postoperative ptosis due to migration of silicone oil into the upper eyelid. [17][18][19][20][21][22][23] It usually occurs between 3 and 19 years after the procedure and is associated with eyelid inflammatory signs such as erythema and swelling which is not consistent with the series. [17][18][19][20][21][22][23] One of the reasons for postoperative ptosis after intraocular procedures has been myotoxic and neurotoxic effects of the local anesthesia.…”

Section: Discussionmentioning

confidence: 83%

“…[17][18][19][20][21][22][23] It usually occurs between 3 and 19 years after the procedure and is associated with eyelid inflammatory signs such as erythema and swelling which is not consistent with the series. [17][18][19][20][21][22][23] One of the reasons for postoperative ptosis after intraocular procedures has been myotoxic and neurotoxic effects of the local anesthesia. 24.25 However, because almost all the PPV procedures were performed under general anesthesia, it does not seem to play a role in this series of patients.…”

Section: Discussionmentioning

confidence: 83%

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Postoperative Blepharoptosis After Pars Plana Vitrectomy Procedure

Abdolalizadeh

Kashkouli

Falavarjani

et al. 2020

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: To describe the frequency of blepharoptosis and factors affecting it after the pars plana vitrectomy (PPV) procedure. Methods: In a prospective study, patients were recruited consecutively from October 2016 to June 2018. Upper eyelid margin reflex distance 1 and 2 (MRD1 and 2), upper eyelid crease height, and levator function were measured before, 1 and at least 6 months after surgery by the same investigator. Clinical and Clinically significant ptosis were defined as ≥0.5 and ≥2 mm drop of MRD1. Result: There were 60 eyes from 57 patients. The majority of surgeries were performed by the fellows (63.3%, 38/60) and under general anesthesia (95.0%, 57/60). Clinical and clinically significant ptosis following PPV were 47.2% (25/53) and 11.3% (6/53) at the last follow up (at least 6 months), respectively. MRD2 (p = 0.389) and eyelid crease height (p = 0.057) did not significantly change. Surgeons’ level, time of the procedure and other variables were not significantly impacting the frequencies. Conclusion: Persistent clinically significant ptosis was observed in 11% of patients undergoing PPV. No variable was significantly associated with persistent postoperative ptosis after PPV.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 83%

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Postoperative Blepharoptosis After Pars Plana Vitrectomy Procedure

Abdolalizadeh

Kashkouli

Falavarjani

et al. 2020

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…Silicone is thought to be chemically non-reactive and is therefore commonly used in surgery, particularly ophthalmic (intraocular) surgery and cosmetic plastic surgery. Despite this, silicone granulomas of the eyelid, ocular adnexal tissue, and orbit may form and have all been described in the ophthalmic literature, particularly following pars plana vitrectomy with silicone oil injection for endotamponade 1,[16][17][18][19][20][21][22][23] or trauma. 24 Distant migration from silicone breast implants or spread of siliconebased facial filler is also uncommonly reported to affect the eyelids.…”

Section: Discussionmentioning

confidence: 99%

Silicone Granulomas of the Eyelids—A Case Series Illustrating a Distant Migratory Phenomenon

Neerukonda

Lefebvre

Chatson

et al. 2022

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: Exogenous silicone has been reported to migrate to anatomic sights far from an initial injection or implantation site; this phenomenon has been rarely described in the ocular adnexa, especially in the eyelids. We document 3 additional cases of distant migration of silicone implanted elsewhere in the body to the eyelids and review the prior literature on this uncommon event. Methods: A retrospective chart review of 3 patients was conducted along with analysis of diagnostic histopathology. A comprehensive review of the literature regarding dissemination or migration of silicone to the eyelids in patients with either silicone breast implants or silicone facial filler use was performed. Results: Cases of silicone migrating to the eyelids from silicone breast implants and silicone-based facial filler are outlined in Tables 1 and 2, respectively. There are 4 total reports of women with silicone breast implants, including the 2 described here, with evidence of migration of silicone to the eyelid. Similarly, 5 cases of silicone-based facial filler with resultant migration of filler to the eyelids were identified, including 2 of the cases presented in this report (1 patient had both silicone breast implants and silicone facial filler). Conclusion: Silicone is chemically inert, but is known to travel throughout the body, causing a resultant foreign body response in tissue that can adversely affect even the eyelids. Silicone has a relatively characteristic histologic appearance and diagnosis of silicone granuloma highlights the importance of obtaining a thorough clinical history, particularly regarding prior cosmetic injections or breast enhancement surgery. Foreign material/foreign body granuloma is important to consider in patients with deep eyelid nodules of unclear etiology.

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