벙커씨유에 의한 고압주입손상 후 발생한 결막하 기름 육아종

A Case of Subconjunctival Oil Granuloma caused by a High Pressure Injection Injury by Bunker Fuel Oil C

Purpose: To report a rare case of subconjunctival oil granuloma caused by a high-pressure injection injury that showed excellent cosmetic result after tissue resection and conjunctival autograft. Methods: A 49-year-old male was injured by the high-pressure sprouting of bunker fuel oil C in his right eye during ship work. Temporal bulbar conjunctival laceration and subconjunctival oil involving the nasal subconjunctival area were observed on the initial examination. Irrigation and aspiration of subconjunctival oil was performed, but the result was not satisfactory. After wound healing of the conjunctiva, radical resection and biopsy of the conjunctival and tenon tissue that formed the fibrotic adhesion around laceration wound was performed. Then, the superotemporal bulbar conjunctiva of contralateral eye was grafted to the lesion. Results: Bunker fuel oil C in the subconjunctival space did not invade the intraocular area. However, excisional biopsy of the scarred lesion showed chronic granulomatous inflammation. Satisfactory cosmetic outcome was achieved after conjunctival autograft without any complications.