Total Exposure of a Hydroxyapatite Orbital Implant, Five Years after Evisceration: Case Report and Review of the Literature

Objective: To describe a case of implant complication after evisceration.

Results: The patient was 28 years old with ocular trauma history and evisceration of the left eye five years previously, and placement of an intraocular ball who consulted to the emergency department with left retro-orbital pain and progressive worsening for one month, associated with abundant purulent oozing secretions. The examination of the left orbital cavity revealed palpebral edema, externalization of the deteriorated hydroxyapatite ball, absence of sclera and conjunctiva, and abundant purulent yellowish secretions. The patient underwent emergency lavage. Antibiotic therapy and revision surgery were performed. The evolution was favorable.