Periocular and anterior orbital necrosis after upper eyelid gold weight loading: operation-related or self-inflicted?

Roy Schwartz,1 Ran Ben Cnaan,1 Ophir Schein,2 Michael Giladi,3 Michal Raz,4 Igal Leibovitch11Oculoplastic and Orbital Institute, Department of Ophthalmology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; 2Department of Plastic Surgery, Assaf Harofeh Medical Center, Tzrifin, Is...

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Autores principales:	Schwartz R, Ben Cnaan R, Schein O, Giladi M, Raz M, Leibovitch I
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/ecce69369d13496e8d6e67ce79c189e3
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spelling	oai:doaj.org-article:ecce69369d13496e8d6e67ce79c189e32021-12-02T02:41:56ZPeriocular and anterior orbital necrosis after upper eyelid gold weight loading: operation-related or self-inflicted?1177-5483https://doaj.org/article/ecce69369d13496e8d6e67ce79c189e32014-04-01T00:00:00Zhttp://www.dovepress.com/periocular-and-anterior-orbital-necrosis-after-upper-eyelid-gold-weigh-a16611https://doaj.org/toc/1177-5483 Roy Schwartz,1 Ran Ben Cnaan,1 Ophir Schein,2 Michael Giladi,3 Michal Raz,4 Igal Leibovitch11Oculoplastic and Orbital Institute, Department of Ophthalmology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; 2Department of Plastic Surgery, Assaf Harofeh Medical Center, Tzrifin, Israel; 3Infectious Disease Unit, 4Pathology Unit, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, IsraelAbstract: A 44-year-old woman, who had undergone gold-weight implantation due to facial palsy and lagophthalmos, arrived at the ophthalmology ward with eyelid swelling and erythema, which rapidly deteriorated under intravenous antibiotics to a necrotic process involving the periocular tissues, the eye, and the anterior orbit. Despite prompt removal of the gold weight, the patient's ocular and systemic condition continued to deteriorate, necessitating evisceration and debridement of necrotic tissue. Cultures showed growth of Staphylococcus epidermidis, Staphylococcus capitis, Candida glabrata, and Candida albicans, and histopathology demonstrated an acute nonspecific necrotizing panophthalmitis. Later on, the patient was admitted to a plastic surgery ward with recurrent severe burns of her thigh, which were highly suggestive of being self-induced, raising the possibility of self-induced damage.Keywords: evisceration, factitious disorder, lagophthalmosSchwartz RBen Cnaan RSchein OGiladi MRaz MLeibovitch IDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 843-846 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Schwartz R Ben Cnaan R Schein O Giladi M Raz M Leibovitch I Periocular and anterior orbital necrosis after upper eyelid gold weight loading: operation-related or self-inflicted?
description	Roy Schwartz,1 Ran Ben Cnaan,1 Ophir Schein,2 Michael Giladi,3 Michal Raz,4 Igal Leibovitch11Oculoplastic and Orbital Institute, Department of Ophthalmology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; 2Department of Plastic Surgery, Assaf Harofeh Medical Center, Tzrifin, Israel; 3Infectious Disease Unit, 4Pathology Unit, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, IsraelAbstract: A 44-year-old woman, who had undergone gold-weight implantation due to facial palsy and lagophthalmos, arrived at the ophthalmology ward with eyelid swelling and erythema, which rapidly deteriorated under intravenous antibiotics to a necrotic process involving the periocular tissues, the eye, and the anterior orbit. Despite prompt removal of the gold weight, the patient's ocular and systemic condition continued to deteriorate, necessitating evisceration and debridement of necrotic tissue. Cultures showed growth of Staphylococcus epidermidis, Staphylococcus capitis, Candida glabrata, and Candida albicans, and histopathology demonstrated an acute nonspecific necrotizing panophthalmitis. Later on, the patient was admitted to a plastic surgery ward with recurrent severe burns of her thigh, which were highly suggestive of being self-induced, raising the possibility of self-induced damage.Keywords: evisceration, factitious disorder, lagophthalmos
format	article
author	Schwartz R Ben Cnaan R Schein O Giladi M Raz M Leibovitch I
author_facet	Schwartz R Ben Cnaan R Schein O Giladi M Raz M Leibovitch I
author_sort	Schwartz R
title	Periocular and anterior orbital necrosis after upper eyelid gold weight loading: operation-related or self-inflicted?
title_short	Periocular and anterior orbital necrosis after upper eyelid gold weight loading: operation-related or self-inflicted?
title_full	Periocular and anterior orbital necrosis after upper eyelid gold weight loading: operation-related or self-inflicted?
title_fullStr	Periocular and anterior orbital necrosis after upper eyelid gold weight loading: operation-related or self-inflicted?
title_full_unstemmed	Periocular and anterior orbital necrosis after upper eyelid gold weight loading: operation-related or self-inflicted?
title_sort	periocular and anterior orbital necrosis after upper eyelid gold weight loading: operation-related or self-inflicted?
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/ecce69369d13496e8d6e67ce79c189e3
work_keys_str_mv	AT schwartzr periocularandanteriororbitalnecrosisafteruppereyelidgoldweightloadingoperationrelatedorselfinflicted AT bencnaanr periocularandanteriororbitalnecrosisafteruppereyelidgoldweightloadingoperationrelatedorselfinflicted AT scheino periocularandanteriororbitalnecrosisafteruppereyelidgoldweightloadingoperationrelatedorselfinflicted AT giladim periocularandanteriororbitalnecrosisafteruppereyelidgoldweightloadingoperationrelatedorselfinflicted AT razm periocularandanteriororbitalnecrosisafteruppereyelidgoldweightloadingoperationrelatedorselfinflicted AT leibovitchi periocularandanteriororbitalnecrosisafteruppereyelidgoldweightloadingoperationrelatedorselfinflicted
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Periocular and anterior orbital necrosis after upper eyelid gold weight loading: operation-related or self-inflicted?

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