Orbital textiloma: Two case reports and a literature review.

Abstract

Purpose: This report presents two cases of orbital textiloma resulting from retained surgical gauze.

Case description: Both patients presented with postoperative orbital inflammation unresponsive to medical treatment: one eight weeks after excision of an orbital cavernous hemangioma, and the other six months following surgical repair of an orbital floor fracture. CT scans of the orbit revealed well-defined lesions with a heterogeneous center. An exploratory orbitotomy retrieved a large piece of gauze that was firmly adhered to the globe and the adjacent extraocular muscle. Both patients experienced significant postoperative improvement, with no sequelae.

Conclusions: Orbital textiloma, though rare, should be considered a potential cause of persistent postoperative orbital inflammation. Prompt imaging and subsequent surgical removal are crucial for accurate diagnosis and effective treatment.