[Volume overload from hydrogel expander after treatment for enophthalmos].
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.
Küstner
M
M
Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum der Ernst-Moritz-Arndt-Universität Greifswald, Ferdinand-Sauerbruch-Strasse, 17475, Greifswald, Deutschland. kuestner@uni-greifswald.de
Riebeling
P
P
Podmelle
F
F
Kaduk
W
W
Tost
F
F
D004172:Diplopia / Q000209:etiology* / Q000517:prevention & control*; D015841:Enophthalmos / Q000628:therapy*; D005260:Female; D006801:Humans; D020100:Hydrogels; D015840:Oculomotor Nerve Diseases / Q000209:etiology* / Q000517:prevention & control*; D020273:Orbital Implants / Q000009:adverse effects*; D055815:Young Adult
D020100:Hydrogels