Conjunctival Silicone Granuloma From Breast Implants.

IF 1.9 3区 医学 Q2 OPHTHALMOLOGY
Anna J Sun, Anna M Stagner, Han-Ying P Chang
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引用次数: 0

Abstract

Purpose: The purpose of this report was to highlight a case of migratory conjunctival silicone granuloma formation years after silicone breast implantation.

Methods: A 65-year-old woman with history of silicone breast implant placement presented with an elevated yellow lesion on the bulbar conjunctiva. Anterior segment optical coherence tomography showed subepithelial cystic spaces. Excisional biopsy demonstrated silicone granulomata.

Results: After conjunctival biopsy with amniotic membrane reconstruction, her conjunctiva healed nicely and there was no residual visible lesion.

Conclusions: This case report contributes to our current understanding of the possibility of silicone migration from a distant implant site to the ocular adnexa, specifically the conjunctiva. It is important for corneal specialists and general ophthalmologists to gather a history of exogenous silicone use that could trigger systemic inflammatory responses and granuloma formation distant from the original site of silicone injection or implantation.

乳房植入物引起的结膜硅胶肉芽肿。
目的:本报告的目的是强调一例迁移结膜硅胶肉芽肿形成多年后,硅胶乳房植入术。方法:一名65岁女性,有硅胶乳房植入史,表现为球结膜黄色病变升高。前段光学相干断层扫描显示上皮下囊性间隙。切除活检显示硅胶肉芽肿。结果:经羊膜重建结膜活检后,结膜愈合良好,无明显残余病变。结论:本病例报告有助于我们目前对硅胶从远处植入部位迁移到眼附件,特别是结膜的可能性的理解。对于角膜专家和普通眼科医生来说,收集外源性硅胶的使用史是很重要的,因为外源性硅胶可能会引发全身炎症反应,并在远离硅胶注射或植入的原始部位形成肉芽肿。
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来源期刊
Cornea
Cornea 医学-眼科学
CiteScore
5.20
自引率
10.70%
发文量
354
审稿时长
3-6 weeks
期刊介绍: For corneal specialists and for all general ophthalmologists with an interest in this exciting subspecialty, Cornea brings together the latest clinical and basic research on the cornea and the anterior segment of the eye. Each volume is peer-reviewed by Cornea''s board of world-renowned experts and fully indexed in archival format. Your subscription brings you the latest developments in your field and a growing library of valuable professional references. Sponsored by The Cornea Society which was founded as the Castroviejo Cornea Society in 1975.
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