title: An epibulbar chocolate cyst: a rare complication of silicone-based scleral buckle.
abstract: A patient with a history of vitreoretinal surgery presented with nasal dystopia, diplopia and epibulbar bluish black mass simulating a chocolate cyst in the right eye. After a non-conclusive ocular examination, he underwent CT of the orbit along with volume rendition and three-dimensional reconstruction, which demonstrated intact globe with laterally displaced band-buckle assembly along with peri-scleral buckle element (SBE) soft tissue proliferation. Imaging-assisted exploration of the lesion was performed and retained scleral buckle element (SBE) was removed in toto; thus relieving the patient long-standing dystopia.
authors.affiliation: Dr RP Centre, AIIMS, New Delhi, India.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Venkatesh
authors.affiliation: Dr RP Centre, AIIMS, New Delhi, India.
authors.forename: Varun
authors.initials: V
authors.lastname: Gogia
authors.affiliation: Dr RP Centre, AIIMS, New Delhi, India.
authors.forename: Shikha
authors.initials: S
authors.lastname: Gupta
authors.affiliation: Dr RP Centre, AIIMS, New Delhi, India.
authors.forename: Bhagabat
authors.identifier: http://orcid.org/0000-0001-5796-2591
authors.initials: B
authors.lastname: Nayak
mesh_terms: D000328:Adult; D003228:Conjunctiva / Q000473:pathology*; D003560:Cysts / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D004172:Diplopia / Q000209:etiology; D005130:Eye Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D005548:Foreign-Body Migration / Q000150:complications / Q000601:surgery; D006801:Humans; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D009915:Orbit; D019736:Prostheses and Implants / Q000009:adverse effects; D011475:Prosthesis Failure / Q000009:adverse effects*; D012163:Retinal Detachment / Q000601:surgery*; D012590:Sclera / Q000601:surgery; D012591:Scleral Buckling / Q000009:adverse effects*; D012828:Silicones
chemical_list: D012828:Silicones; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate