Orbital amputation neuroma causing failure of prosthesis wear

PURPOSE . To describe an orbital amputation neuroma that developed following enucleation and led to the patient ’s inability to wear an oc- ular prosthesis. METHODS . This is a retrospective case report in a private practice setting. An elderly woman underwent enucleation of the right eye,and subsequently developed orbital pain and inflammation. Systemic and local steroids proved of no benefit, and the socket became increasingly painful,contracted and frozen. She was unable to wear her prosthesis. An orbital mass was noted,and subsequently biopsied. RESULTS . The biopsy specimen demonstrated orbital amputation neuroma. Her pain was relieved. CONCLUSION . Orbital amputation neuroma should be a diagnostic con- sideration when a patient develops a painful orbital mass following enucleation.