title: Hydrogel explant extrusion masquerading as a malignant eyelid lesion.
abstract: Hydrogel was a commonly used material for scleral buckling in the early 1980s to the mid-1990s. Use of hydrogel ceased due to a high complication rate, including frequent migration. Various symptoms and clinical findings have been reported with hydrogel migration. There have been no published reports of hydrogel migration to the eyelid anterior to the orbital septum with erosion of the orbicularis and bleeding as a presenting symptom. The authors describe a patient with hydrogel migration to the upper eyelid, with symptomology and clinical findings consistent with a malignant eyelid lesion. Excisional biopsy of extraorbital hydrogel is recommended in these cases.
authors: Division of Ophthalmology, Section Oculofacial Plastic and Reconstructive Surgery, Ohio University/Ohio Health Doctor's Hospital, Columbus, Ohio, USA. dsp4000@aol.com
authors: Craig N
authors: CN
authors: Czyz
authors: Thomas P
authors: TP
authors: Petrie
authors: Kelly R
authors: KR
authors: Everman
authors: Kenneth V
authors: KV
authors: Cahill
authors: Jill A
authors: JA
authors: Foster
mesh_terms: D000369:Aged, 80 and over; D020878:Device Removal; D005129:Eye Foreign Bodies / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D005141:Eyelid Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D005143:Eyelids / Q000601:surgery; D005548:Foreign-Body Migration / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D011102:Polyhydroxyethyl Methacrylate / Q000009:adverse effects / Q000031:analogs & derivatives*; D012163:Retinal Detachment / Q000601:surgery; D012591:Scleral Buckling / Q000295:instrumentation*; D013536:Suture Techniques
chemical_list: C065274:Miragel; D011102:Polyhydroxyethyl Methacrylate