A 38-YEAR-OLD patient with myopia and an inferior temporal retinal detachment
and multiple peripheral retinal holes in his right eye underwent an uneventful
scleral buckling procedure using an encircling 907 (3 × 5 mm) Miragel
(MIRA, Walthem, Mass) exoplant. Postoperatively, the retina was attached and
central visual acuity was 20/20 OD.
Thirteen years later, the patient returned with double vision and a
nonpainful, noninflamed right infraorbital swelling. A firm cylindrical mass
protruded beneath the lateral aspect of the right lower eyelid (Figure 1). The retina was attached and visual acuity was 20/30 OD.
The patient claimed that during the past few years, a hard mass lesion had
developed under his right lower eyelid, causing progressive double vision.
Braunstein RA, Winnick M. Complications of MiragelPseudotumor. Arch Ophthalmol. 2002;120(2):228-229. doi:10.1001/archopht.120.2.228