PMC7229421_01
A: The clinical appearance of the right upper eyelid masses with a yellowish flat xanthelasma-like area near the medial canthus (Blue arrow). B: Subconjunctival collection of silicone oil in the right eye inferior fornix. C: The histopathological appearance of the skin in the same area showing the empty silicone oil round spaces surrounded by epithelioid cells and giant cells (Original magnification X200 Hematoxylin and eosin). D: Higher power of the silicone oil and the surrounding granulomatous reaction (Original magnification X400 Hematoxylin and eosin). (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article).
gr1.jpg
PMC7229421_01_gr1.jpg
fig0005
Multiple slightly raised yellowish skin masses were noted on her upper eyelid, which we thought to be due to migrating silicone oil. xanthelasma-like lesion was also noted in the medial canthal region (Fig. 1a). Multiple pockets of silicone oil were also observed in the subconjunctival/sub-tenon area in all 4 quadrants of the conjunctival fornices (Fig. 1b). In many areas, surrounding numerous epithelioid cells representing ill-defined granulomas was present in addition to other chronic inflammatory cells: lymphocytes and plasma cells (Fig. 1c & d).