Chronic anophthalmic socket pain in the setting of deep orbital pseudocysts.
Shanlee M StevensMichelle M MaengZahra A MarkatiaRayan Abou KhzamVincent TangSander R DubovyThomas E JohnsonPublished in: Orbit (Amsterdam, Netherlands) (2022)
An 89-year-old woman presented with chronic pain and foreign body sensation in a healthy-appearing anophthalmic socket. Computed tomography of the orbits showed hyperdense, cystic lesions superior and posterior to the orbital implant. Orbital exploration was performed; the orbital implant and lesions were removed. Histopathology revealed cystic structures composed of fibrocellular tissue lined with histiocytes and multinucleated giant cells, consistent with pseudocysts. Postoperatively, the patient noted the resolution of her symptoms. While the etiology of the pseudocysts remains unclear, we hypothesize that the answer can be traced back to the original surgery. The cysts may have formed after extravasation of fluid or proteinaceous material from the eye, from glycerin on the donor sclera, or after introduction of foreign material during retrobulbar injection of local anesthesia. This is the first report of pseudocysts occurring in the orbit posterior to an implant.
Keyphrases
- chronic pain
- computed tomography
- soft tissue
- pain management
- case report
- induced apoptosis
- minimally invasive
- magnetic resonance imaging
- high resolution
- coronary artery bypass
- cell cycle arrest
- coronary artery disease
- cell death
- oxidative stress
- single molecule
- neuropathic pain
- spinal cord
- spinal cord injury
- sleep quality
- depressive symptoms
- mass spectrometry
- atrial fibrillation
- ultrasound guided
- image quality
- surgical site infection
- rare case