Chocolate Cysts Associated with Porous Polyethylene Orbital Implants

Armida L. Suller, Rupin N. Parikh, Jiawei Zhao, Nicholas R. Mahoney, Ashley A. Campbell, Sepideh Siadati, Charles G. Eberhart, Roxana Fu

Research output: Contribution to journalArticlepeer-review

Abstract

Late-onset orbital hemorrhage is a rare complication of alloplastic implant use in orbital wall reconstruction following trauma. The authors report 3 patients with chocolate cysts presenting 3 to 9 years after orbital fracture repair with porous polyethylene implants. All patients were managed by implant removal and evacuation of cyst contents. Complete excision of the cyst was performed in 1 patient, while partial excision of the capsule was performed in 2 patients. Improvement of symptoms associated with the mass effects of the cyst was noted after surgical intervention. The authors also report the first case of orbital volume expansion from a chocolate cyst associated with a nonbarriered porous polyethylene implant. Delayed hemorrhage with capsule formation, although extremely rare, is a possible complication following orbital fracture repair with porous polyethylene implants.

Original languageEnglish (US)
Pages (from-to)E75-E80
JournalOphthalmic plastic and reconstructive surgery
DOIs
StatePublished - Mar 1 2021

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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