Silicone Oil Injection After Failed Primary Vitreous Surgery in Severe Ocular Trauma

Ocular trauma with penetrating eye injury or globe rupture is an ophthalmic emergency. Immediate but gentle ocular assessment is mandatory to diagnose the extent of the injury. Imaging modalities are valuable in aiding diagnosis and management in open globe injury due to the difficulty of full eye assessment in the presence of multiple head and facial injuries. This report presents a case of an elderly man with ocular trauma of the left only seeing eye where computed tomography scan showed anterior globe rupture and the possibility of posterior globe rupture due to discontinuity of the posterior sclera. Primary repair and exploration of the left eye revealed no posterior globe rupture. Post-operative B-scan revealed a total retinal detachment with intact posterior globe. Vision of the left eye after pars planar vitrectomy and tamponade of the retina detachment with heavy silicone oil improved to 1/60. Computed tomography scan in ocular trauma has limitations especially in diagnosing retinal detachment and posterior globe rupture.

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A case of atypical band shaped keratopathy following intravitreal silicone oil injection in an aphakic eye

Journal of Clinical Research and Ophthalmology ◽

10.17352/2455-1414.000066 ◽

2020 ◽

Vol 7 (1) ◽

pp. 018-020

Author(s):

Balakrishna Nischala ◽

Channabasappa Seema

Keyword(s):

Silicone Oil ◽

Oil Injection

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Refractive outcome of cataract surgery in eyes filled with silicone oil

10.21203/rs.2.14171/v1 ◽

2019 ◽

Author(s):

Piotr Kanclerz ◽

Christoph Leisser ◽

Andrzej Grzybowski ◽

Paweł Lipowski

Keyword(s):

Cataract Surgery ◽

Silicone Oil ◽

Spherical Equivalent ◽

Refractive Outcome ◽

Spherical Equivalent Refraction ◽

Cataract Development ◽

Oil Injection ◽

Phacoemulsification Cataract Surgery

Abstract Background Cataract development is common in phakic eyes filled with silicone oil (SO), necessitating subsequent cataract removal. This study evaluated the refractive outcome in eyes filled with SO undergoing phacoemulsification cataract surgery (PCS). Methods This retrospective study evaluated patients with SO tamponade who were scheduled for PCS. Results Subjects (n=26) were followed-up for 29.5 ± 13.9 months after cataract surgery. The median spherical equivalent refraction (SER) was +5.3 D (interquartile range [IQR] +2.9 to +6.7) before PCS, and +3.4 D (IQR +2.0 to +4.4) after PCS. Within the follow-up period retinal reattachment after SO removal was achieved in 15 out of 26 eyes (57.7%). In 13 eyes assessment of refraction after SO-removal was possible, and showed a myopic shift of -4.6 D (IQR -2.9 to -7.3) in the SER. After SO removal, 5 of 13 eyes (38.5%) were within ±1.0 D of the target refraction, while 9 out of 13 eyes (69.2%) were within ±2.0 D. Conclusions The refractive outcome after PCS for eyes filled with SO is less predictable than that for normal eyes. Some of the eyes undergoing silicone oil injection may require long-term tamponade.

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Un-doing All that Good Work! Glaucoma After Vitrectomy and Silicone Oil Injection for the Treatment of Complicated Retinal Detachment

Journal of Eye Diseases and Disorders ◽

10.35248/2684-1622.16.1.103 ◽

2016 ◽

Vol 01 (01) ◽

Author(s):

Elizabeth McElnea ◽

Aoife Naughton ◽

Colm OBrien ◽

David Keegan

Keyword(s):

Retinal Detachment ◽

Silicone Oil ◽

Good Work ◽

Oil Injection

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Medical management of silicone oil associated acute postoperative ocular inflammation

BMJ Case Reports ◽

10.1136/bcr-2021-242251 ◽

2021 ◽

Vol 14 (7) ◽

pp. e242251

Author(s):

Mariya Bashir Doctor ◽

Deepika Chennapura Parameswarappa ◽

Padmaja Kumari Rani

Keyword(s):

Medical Management ◽

Rhegmatogenous Retinal Detachment ◽

Silicone Oil ◽

Ocular Inflammation ◽

Intraocular Inflammation ◽

Topical Steroids ◽

Gradual Improvement ◽

Batch Number ◽

Oil Injection

We report a case of a 57-year-old man, who underwent right eye silicone oil injection as a part of his surgical treatment for rhegmatogenous retinal detachment. Following this, on the first postoperative day, he developed acute postoperative intraocular inflammation. There was circumciliary congestion, diffuse corneal oedema, anterior chamber (AC) reaction, hypopyon and a pupillary membrane. The AC had not been entered during the surgery. No patients, who had been operated on the same day, or with the materials having the same batch number, developed similar reactions. We started the patient on hourly topical steroids and cycloplegics after which the patient’s condition showed gradual improvement. At the 2 weeks follow-up appointment, his pupillary membrane had completely contracted and the AC was quiet. This case highlights a clinical picture of acute postoperative silicone oil-induced ocular inflammation, which was resolved through medical management.

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Human amniotic membrane for failed macular hole. A case of initial unsuccessful outcome that resolved after amniotic membrane exchange

European Journal of Ophthalmology ◽

10.1177/11206721211058996 ◽

2021 ◽

pp. 112067212110589

Author(s):

Tomaso Caporossi ◽

Lorenzo Governatori ◽

Tommaso Verdina ◽

Stanislao Rizzo

Keyword(s):

Visual Acuity ◽

Macular Hole ◽

Amniotic Membrane ◽

Sulfur Hexafluoride ◽

Silicone Oil ◽

Human Amniotic Membrane ◽

Second Surgery ◽

Myopic Macular Hole ◽

Oil Injection ◽

Membrane Patch

Introduction We described a case of initial unsuccessful outcome of failed macular hole treated with amniotic membrane, that resolved after amniotic membrane exchange and silicone oil injection. Case Description a woman affected by a high myopic macular hole that had failed to close after multiple surgeries, had been treated using an amniotic membrane graft and 20% sulfur hexafluoride but, after the gas reabsorption, the macular hole was still open, and the amniotic membrane. A second surgery with a second amniotic membrane patch and silicone oil was carried out. Two weeks after the procedure the macular hole closed, and the final visual acuity improved from 20/400 to 20/100. Conclusions In this case, a second surgery, using a new amniotic membrane graft and a longer-lasting endotamponade, closed the hole and improved the visual acuity.

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Migration of Silicone Oil into the Orbit and Eyelid as a Cyst

Case Reports in Ophthalmology ◽

10.1159/000507608 ◽

2020 ◽

Vol 11 (2) ◽

pp. 217-221

Author(s):

Mohammad Sharifi ◽

Mohammad Reza Ansari Astaneh

Keyword(s):

Silicone Oil ◽

Excisional Biopsy ◽

Upper Eyelid ◽

Oil Migration ◽

Eyelid Swelling ◽

Mobile Mass ◽

History Of ◽

Pars Plana ◽

Computed Topography ◽

Oil Injection

A 7-year-old female presented with left upper eyelid swelling following pars plana deep vitrectomy and silicone oil injection 1 year before admission. The left upper eyelid had mechanical ptosis and on palpation there was a lobulated mobile mass in the lateral portion of eyelid. Computed topography scan showed multiple isodense masses with silicone oil in vitreous in the eyelid and orbit; histopathology after excisional biopsy proved the silicone oil migration. Silicone oil migration followed by vitrectomy may be due to leakage from the site of initial wounds or vitrectomy ports. It is important to suspect extraocular silicone oil migration in patients who presented with eyelid mass-like lesions with a history of silicone oil injection following pars plana deep vitrectomy.

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