[Volume overload from hydrogel expander after treatment for enophthalmos].

Ophthalmologe

Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum der Ernst-Moritz-Arndt-Universität Greifswald, Ferdinand-Sauerbruch-Strasse, 17475, Greifswald, Deutschland.

Published: December 2009

In the subject of this case report, a self-inflating hydrogel expander was implanted as a treatment for posttraumatic enophthalmos in a fully sighted eye. The intervention caused hypertropia with diplopia, restriction of eye movements, visual field defects, and colour desaturation as a result of excessive swelling of the expander. Once the expander volume was adjusted, clinical signs regressed, and the aesthetic results were excellent. Following the implantation of self-inflating orbit expanders, it is advisable to carry out immediate follow-up during the expander's swelling period, and long-term follow-up is also advised to rule out late sequelae, as a position-dependent secondary glaucoma could occur.

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http://dx.doi.org/10.1007/s00347-009-1995-0DOI Listing

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