title: Clinical-Radiological Correlation of Retained Silicone Sponge Presenting as Orbital Inflammation.
abstract: A 32-year-old female who underwent scleral buckle removal presented 5 weeks postoperatively with a red, fluctuant subconjunctival mass. CT scan identified an irregularly bordered, hypoattenuated lesion next to the globe with the density of air. Ophthalmic plastic and reconstructive surgeons were consulted to evaluate orbital cellulitis with intraorbital gas, at which point it was deemed that the hypoattenuated mass was likely a retained sponge element based on its radiological features. Additional surgical exploration identified the retained silicone sponge. This clinical photographic-radiological correlation of retained silicone sponges presenting as orbital inflammation reminds surgeons to meticulously explant buckle material.
authors.affiliation: Allure Laser and Medispa/Aesthetic Eye Associates, 625 4th Avenue, Suite 302, Kirkland, WA 98033, USA.
authors.forename: Tal J
authors.initials: TJ
authors.lastname: Rubinstein
authors.affiliation: Overlake Hospital Medical Center, Department of Radiology, 1035 116th Avenue NE, Bellevue, WA 98004, USA.
authors.forename: John
authors.initials: J
authors.lastname: Clemett
authors.affiliation: Vitreoretinal Associates, 1750 112th Avenue NE No. D050, Bellevue, WA 98004, USA.
authors.forename: Charles D
authors.initials: CD
authors.lastname: Birnbach
authors.affiliation: Allure Laser and Medispa/Aesthetic Eye Associates, 625 4th Avenue, Suite 302, Kirkland, WA 98033, USA.
authors.forename: Steven J
authors.initials: SJ
authors.lastname: LauKaitis
authors.affiliation: Allure Laser and Medispa/Aesthetic Eye Associates, 625 4th Avenue, Suite 302, Kirkland, WA 98033, USA.
authors.forename: Bryan S
authors.initials: BS
authors.lastname: Sires