[Foreign body granuloma after lower eyelid avulsion and surgical revision with silicone tube splint].
BACKGROUND
Foreign-body-reactions with granulomas after use of silicone-containing biomaterials are of clinical importance [4].


METHODS
A 4-year old patient entered our hospital with a reddish vascularised tumor. The tumor's origin was in the conjunctiva of the nasal lid-angle of the right eye.


RESULTS
After a traumatic disconnection of the canaliculus lacrimalis inferior, a bicanalicular silicon-tube intubation had been performed with the patient in the age of one year. Only 3 years after this intervention a secondary clinical examination could be performed. At this time, an extended solid conjunctival-tumor appeared at the operated eye. After removal and histological examination it could be classified as a foreign body granuloma.


CONCLUSIONS
The blood- and tissue compatibility of silicone is only insufficiently guaranteed on the basis of the hydrophobic material-surface. After reconstructive lacrimal surgery postoperative care and the removal of the stabilizing silicone material is necessary.
Bär
S
S
Klinik und Poliklinik für Augenheilkunde, Martin-Luther-Universität Halle-Wittenberg.
Hammer
U
U
Struck
H G
HG
Stein
A
A
Holzhausen
H J
HJ
Duncker
G I
GI
D002675:Child, Preschool; D003608:Dacryocystorhinostomy; D005141:Eyelid Diseases / Q000473:pathology* / Q000601:surgery; D005143:Eyelids / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D005260:Female; D005549:Foreign-Body Reaction / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007223:Infant; D007767:Lacrimal Duct Obstruction / Q000473:pathology; D009301:Nasolacrimal Duct / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000473:pathology* / Q000601:surgery; D012086:Reoperation; D012826:Silicone Elastomers; D015607:Stents
D012826:Silicone Elastomers