Late orbital haemorrhage around alloplastic orbital floor implants: a case series and review

Gilhotra, Jagjit S; McNab, Alan A.; McKelvie, Penny; O’Donnell, Brett A

doi:10.1046/j.1442-9071.2002.t01-1-00555.x

Cited by 50 publications

(17 citation statements)

References 6 publications

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“…Orbital hemorrhage is a frustrating complication after repair of a blowout fracture and the hemorrhage in relation to alloplastic implants has been mainly described as a late complication of repair [3][4][5]. The current report presented the possibility that an acute hemorrhage is also able to be induced by a silicone implant.…”

Section: Discussionmentioning

confidence: 76%

“…Therefore, silicone implant use is controversial. Although we experienced orbital hemorrhage caused by a silicone implant, other implant materials can also cause the same complication [5]. However, porous polyethylene implants are reported to be highly biocompatible, stable and durable for reconstruction of orbital defects with few complications [12,13].…”

Section: Discussionmentioning

confidence: 98%

“…Several studies recommend not to use a silicone implant because of its complications [5][6][7][8][9], but some other studies have reported a positive opinion for use of a silicone implant [10,11]. Therefore, silicone implant use is controversial.…”

Section: Discussionmentioning

confidence: 99%

“…Orbital hemorrhage in relation to alloplastic implants after repair of a blowout fracture is an uncommon entity [1][2][3][4][5]. Although this has been mainly reported as a late complication [3,4], acute hemorrhage also occurs [1,2]; however, the relationship between hemorrhaging and alloplastic implants has not been clarified.…”

Section: Introductionmentioning

confidence: 99%

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Repeated Hemorrhage after Repair of Orbital Floor Fracture with a Silicone Implant

Kakizaki¹,

Ichinose²,

Takahashi³

et al. 2011

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A 16-year-old girl was accidentally kicked in her right eye by her cheerleading teammate in an exercise. Upward gaze ability of her right eye was severely impaired and computed tomography (CT) showed a trapdoor fracture of the right orbital floor. After surgical exploration, a silicone implant was inserted. No bleeding was confirmed at this time. The next day, CT detected a hematoma on the right orbital floor. The hematoma was drained and meticulous cautery was used to control any potential bleeding. The same silicone implant was re-inserted. Irrespective of attempts to avoid hemorrhage, this occurred twice after the respective evacuations. During a fourth operation, we removed the silicone implant simultaneously with hematoma evacuation. No hematoma has occurred since, and the patient's ocular movement has dramatically improved to a normal binocular single vision field. When repeated hemorrhages occur after an orbital floor fracture repair with insertion of a silicone implant, removal of the implant is an effective strategy to resolve the hemorrhage.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Repeated Hemorrhage after Repair of Orbital Floor Fracture with a Silicone Implant

Kakizaki¹,

Ichinose²,

Takahashi³

et al. 2011

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“…[1][2][3][4][5] Haemorrhages from normal vasculature generally arises when small vessels perforating the orbital walls are disrupted by fractures and, in some cases, the site of blow can be outside the orbit (Figures 2a and b).…”

Section: Acute Orbital Haemorrhagementioning

confidence: 99%

Acute presentation of vascular disease within the orbit—a descriptive synopsis of mechanisms

Rose

Verity

2013

Eye

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Vascular events in the orbit can present with an acute onset of symptoms, and, if untreated, raised orbital pressure and reduced arterial perfusion can lead to loss of orbital functions. Such events are commonly due to haemorrhage, but can also be due to arterio-venous shunts and very rarely arise from intraorbital vascular occlusion. The likely diagnosis is often evident on taking a thorough history and examination and in most cases, after appropriate imaging, the process can be monitored for progression. Visual failure is usually due to high pressure at the orbital apex, resulting in ischaemic optic neuropathy, and any evidence of a persistent significant visual impairment should prompt intervention.

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Nontraumatic Orbital Hemorrhage (NTOH)

Prat

Greenberg

McNab

et al. 2021

Atlas of Orbital Imaging

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Late orbital haemorrhage around alloplastic orbital floor implants: a case series and review

Abstract: Although rare, orbital haemorrhage is a potential complication of alloplastic orbital floor implants, which may present many years after surgery.

Cited by 50 publications

References 6 publications

Repeated Hemorrhage after Repair of Orbital Floor Fracture with a Silicone Implant

Repeated Hemorrhage after Repair of Orbital Floor Fracture with a Silicone Implant

Acute presentation of vascular disease within the orbit—a descriptive synopsis of mechanisms

Nontraumatic Orbital Hemorrhage (NTOH)

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