A case of Paraffinoma in the Upper Lid.

Kim, Hee Young; Kim, Yoon Duck

Case Report

Journal of the Korean Ophthalmological Society 1996;37(8):1365-1370.
Published online August 1, 1996.

A case of Paraffinoma in the Upper Lid.

¹Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea.
²Department of Ophthalmology, Samsung Medical center, Seoul, Korea.

상안검에 발생한 파라핀종 1예

김희영(Hee Young Kim),김윤덕(Yoon Duck Kim)

Abstract

In the past, liquid paraffin had been used to restore the atrophy of body for cosmetic purposes. The injected paraffine had resulted in granulomatous foreign reaction. causing the paraffinoma. Because of the severe complications, currently the therapeutic use of paraffin had generally been abandoned. We examined a 62-year old woman who complained of irregular masses of both upper lids and difficulties of eye opening and ptosis and had undergone injection of foreign material into both lids 30 year ago for the restoration of superior sulcus deformities. We removed the mass and did the levator resection of the upper lids. Histologic findings showed multiple irregular shaped vacuole with peri vacuolar dense fibrotic rim and chronic inflammatory cell infiltration in interstitium. These findings were consistent with paraffinoma. We report our experience of a case of the paraffinoma which showed foreign body granuloma composed of many vacuoles and severe fibrosis.

Key Words: Foreign body granuloma;Liquid paraffin;Paraffinoma