Two Cases of Mucocele After Orbital Fracture Repair.

Kwun, Young Kyo; Kim, Yoon Duck

doi:2009.50.4.612

J Korean Ophthalmol Soc > Volume 50(4); 2009 > Article

Case Report

Journal of the Korean Ophthalmological Society 2009;50(4):612-617.
DOI: https://doi.org/10.3341/jkos.2009.50.4.612 Published online April 30, 2009.

Two Cases of Mucocele After Orbital Fracture Repair.

Young Kyo Kwun, Yoon Duck Kim

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ydkimoph@skku.edu

안와골절정복술 후 발생한 점액낭종 2예

권영교ㆍ김윤덕

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Abstract

PURPOSE
We report two cases of mucocele formation after medial orbital wall fracture repair with an alloplastic implant. CASE SUMMARY: A 61-year-old man with a history of a medial orbital wall fracture repaired with an alloplastic implant five years earlier presented with a several-month history of left proptosis without diplopia, pain, or lid edema. A 55-year-old man with a history of a medial orbital wall fracture repaired with an alloplastic implant seven years prior, presented with a five.year history of left proptosis with diplopia. Computed tomography (CT) scans revealed a large cyst on the orbital medial wall, which surrounded the alloplastic implant and had no definite enhancement. The patients underwent orbital surgery to remove both the cyst and implant. Histologic examination of the cyst revealed a capsule lined with ciliated pseudostratified columnar epithelium. Both patients had an uncomplicated postoperative course with resolution of the proptosis. CONCLUSIONS: For cases that present with late proptosis after orbital fracture repair, mucocele formation should be included in the differential diagnosis.

Key Words: Mucocele;Orbital fracture repair