Clinical-Radiological Correlation of Retained Silicone Sponge Presenting as Orbital Inflammation

Clinical-Radiological Correlation of Retained Silicone Sponge Presenting as Orbital Inflammation

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A 32-year-old female who underwent scleral buckle removal presented 5 weeks postoperatively with a red, fluctuant subconjunctival mass.CT scan identified an 82% VANILLA SALT CHOC BAR irregularly bordered, hypoattenuated lesion next to the globe with the density of air.Ophthalmic plastic and reconstructive surgeons were consulted to evaluate orbital cellulitis with intraorbital gas, at which point it was deemed that the hypoattenuated mass was likely a retained sponge element based on its radiological features.Additional surgical exploration identified the retained silicone sponge.

This clinical photographic-radiological correlation of retained silicone sponges presenting Shoe Care as orbital inflammation reminds surgeons to meticulously explant buckle material.