NONINFECTIOUS INFLAMMATORY RESPONSE TO GOLD WEIGHT EYELID IMPLANTS
NONINFECTIOUS INFLAMMATORY RESPONSE TO GOLD WEIGHT EYELID IMPLANTS
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DOI：
10.1097/00002341-199509000-00008
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发表时间：
1995-09-01
影响因子：
2
通讯作者：
KOMOROWSKI, RA
中科院分区：
文献类型：
--
作者：
BAIR, RL;HARRIS, GJ;KOMOROWSKI, RA
我们描述了三个患者的非感染性炎症反应，金重量眼睑植入，一个并发症以前没有报道。每位患者的眼睑水肿和红斑逐渐发生，3例患者的最大炎症分别出现在术后12周、3周和5周。治疗方法包括：第一名患者取出种植体，第二名患者口服皮质类固醇，然后用铂重代替种植体，第三名患者局部注射皮质类固醇并保留种植体。组织病理学特征包括在组织-金界面处有厚的嗜酸性凝块，在种植体周围的胶原囊内有强烈的淋巴细胞浸润。金重眼睑植入可引起逐渐进行性炎症反应。至少在某些情况下，局部注射皮质类固醇可抑制炎症并使植入物保留。
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.