{Reference Type}: Case Reports
{Title}: Orbital and Sinonasal Complications of Hydrogel Scleral Buckle: A Case Report.
{Author}: Tong JY;Smith M;Gout T;Tumuluri K;Taylor S;
{Journal}: Ophthalmic Plast Reconstr Surg
{Volume}: 38
{Issue}: 6
{Year}: Nov-Dec 2022 1
{Factor}: 2.011
{DOI}: 10.1097/IOP.0000000000002216
{Abstract}: The hydrogel scleral buckle is a hydrophilic implant that is characterized by progressive expansion and can present with secondary orbital changes. The authors present a unique case of hydrogel-induced erosion of the orbital roof into the frontal sinus, with formation of a sino-orbital communication that resulted in frontal sinusitis and adjacent cerebritis. The hydrogel material is radiologically characterized as a fluid-filled hypertense T2 mass with rim enhancement and peripheral calcification. Awareness of late orbital complications from the hydrogel material is important to distinguish this entity from other mimicking orbital pathologies.