Buckle Dislocation Mimicking Eyelid Tumor

Introduction

Unilateral ptosis accompanied by tumorous swelling of the upper eyelid can be caused by several conditions, ranging from benign to malignant etiologies. Possible causes include benign lesions such as chalazion or dermoid cyst, inflammatory conditions, foreign bodies, or malignant tumors like lymphoma or sebaceous gland carcinoma. Accurate differential diagnosis of these conditions requires a detailed ocular history and thorough diagnostic evaluation, including clinical examination, imaging, and, sometimes, biopsy.

Initial attempts of scleral buckle surgery date back to the mid-20th century, when Custodis introduced a polyviol explant [1]. Nowadays, explants are typically made from silicone material, either in solid form or as a sponge. Possible complications of scleral buckling include scleral perforation and rupture, choroidal detachment, persistent subretinal fluid, macular edema, epimacular proliferation, refractive changes, diplopia, infection, scleral abscess, and late periorbital infections, sometimes associated with implant extrusion [2]. A rare complication is also buckle migration [3].

In our case, clinical manifestation initially resembled an upper eyelid tumor with ptosis, requiring consideration of various benign and malignant etiologies. However, a thorough medical history and appropriate diagnostic tests ultimately guided us to the diagnosis of buckle dislocation.

Publikationsverlauf

Eingereicht: 25. Oktober 2024

Angenommen: 17. Dezember 2024

Artikel online veröffentlicht:
27. Februar 2025

• References

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