NONINFECTIOUS INFLAMMATORY RESPONSE TO GOLD WEIGHT EYELID IMPLANTS

被引:41
作者
BAIR, RL [1 ]
HARRIS, GJ [1 ]
LYON, DB [1 ]
KOMOROWSKI, RA [1 ]
机构
[1] MED COLL WISCONSIN,INST EYE,DEPT OPHTHALMOL,MILWAUKEE,WI 53226
关键词
GOLD LID IMPLANT; INFLAMMATION; CORTICOSTERIOD;
D O I
10.1097/00002341-199509000-00008
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
We describe three patients with noninfectious inflammatory reactions to gold weight eyelid implants, a complication not previously reported. Eyelid edema and erythema developed gradually in each patient, and maximal inflammation that prompted treatment was present at 12, 3, and 5 weeks, respectively, after surgery in the three patients. Management involved removal of the implant in the first patient, oral corticosteroids followed by replacement of the implant by a platinum weight in the second patient, and a local corticosteroid injection with retention of the implant in the third. Histopathological features included a thick eosinophilic coagulum at the tissue-gold interface and an intense, predominantly lymphocytic infiltrate in the collagenous capsule that surrounded the implants. Gold weight eyelid implants can elicit a gradually progressive inflammatory response. In at least some cases, local corticosteroid injection may suppress the inflammation and permit retention of the implant.
引用
收藏
页码:209 / 214
页数:6
相关论文
共 10 条
[1]  
Smellie G.D., Restoration of the blinking reflex in facial palsy by a simple lid load operation, Br Jplast Surg, 19, pp. 279-284, (1966)
[2]  
Jobe R.P., A technique for lid loading in the management of lagophthalmos of facial palsy, Plast Reconstr Surg, 53, pp. 29-31, (1974)
[3]  
May M., Gold weight and wire spring implants as alternatives to tarsorrhaphy, Arch Otolaryngol Head Neck Surg, 113, pp. 656-660, (1987)
[4]  
Kartush J.M., Lindstrom C.J., Early gold weight eyelid implantation for facial paralysis, Otolaryngol Head Neck Surg, 103, pp. 1016-1023, (1990)
[5]  
Townsend D.J., Eyelid reanimation for the treatment of paralytic lagophthalmos: Historical perspectives and current applications of the gold weight implant, Ophthalmic Plast Reconstr Surg, 8, pp. 196-201, (1992)
[6]  
Tse D.T., Surgical correction of punctal malposition, Am J Ophthalmol, 100, pp. 339-340, (1985)
[7]  
Pickford M.A., Scamp T., Harrison D.H., Morbidity after gold weight insertion into the upper eyelid in facial palsy, Br J Plast Surg, 45, (1992)
[8]  
Fowler J.F., Selection of patch test materials for gold allergy, Contact Dermatitis, 17, pp. 23-25, (1987)
[9]  
Izumi A.K., Allergic contact gingivostomatitis due to gold, Arch Dermatol Res, 272, pp. 387-391, (1982)
[10]  
Fowler J.F., Allergic contact dermatitis to gold [Letter], Arch Dermatol, 124, pp. 181-182, (1988)