Persistent anterior chamber silicone oil and myopia.

Abstract

UNLABELLED:

A 60-year-old man experienced a marked unilateral myopic shift of 20 diopters following attempted removal of intravitreal heavy silicone oil used in the treatment of inferior proliferative vitreoretinopathy following retinal detachment. Examination revealed heavy silicone oil adherent to the corneal endothelium and forming a convex interface with the aqueous, obscuring the entire pupil. Surgical intervention was required to restore visual acuity. The case highlights the potential ocular complications associated with silicone oil migration into the anterior chamber, including corneal endothelial decompensation and a significant increase in myopia.

FINANCIAL DISCLOSURE:

No author has a financial or proprietary interest in any material or method mentioned.

• Authors: Stephen J Vincent, Roslyn A Vincent, Les M Manning, Graham A Lee
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 41 Issue 7 Pg. 1527-9 (Jul 2015) ISSN: 1873-4502 [Electronic] United States
• PMID: 26287889 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2015 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Chemical References

• Silicone Oils
• densiron

Topics

• Anterior Chamber (pathology)
• Drainage (methods)
• Endotamponade
• Eye Foreign Bodies (etiology, surgery)
• Foreign-Body Migration (etiology, surgery)
• Humans
• Male
• Middle Aged
• Myopia (etiology, surgery)
• Retinal Detachment (surgery)
• Silicone Oils
• Vitreoretinopathy, Proliferative (surgery)
• Vitreous Body