Extrusion of hydrogel exoplant into upper eyelid 16 years after a scleral buckle procedure.

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This article has been peer reviewed. It was published in: Indian journal of ophthalmology.

Volume 59, Issue 3, May-June 2011, Pages 238-9.

The published version is available at DOI: 10.4103/0301-4738.81047. Copyright © Indian Journal of Ophthalmology


Sixteen years after scleral buckle surgery with a hydrogel episcleral exoplant, a 43-year-old woman presented with progressive binocular diplopia, ptosis, and an expanding mass in her upper eyelid. She underwent surgical removal of the hydrogel exoplant through an anterior approach. The exoplant proved to be friable, fragmented, and encapsulated in a fibrous tissue; the exoplant was removed in its entirety. Postoperatively, the eyelid mass resolved, while her diplopia and ptosis improved slightly.