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Photo Essay
February 2002

Complications of Miragel: Pseudotumor

Arch Ophthalmol. 2002;120(2):228-229. doi:10.1001/archopht.120.2.228

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.

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