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Pseudo-endothelial dystrophy associated with emulsified silicone oil
A Azuara-Blanco1, H S Dua, C T Pillai
1Department of Ophthalmology, Queen's Medical Centre, University Hospital, Nottingham, England.
Cornea
|July 28, 1999
Summary
Emulsified silicone oil can cause droplet-like changes on the eye's endothelium, leading to mild damage. This case highlights potential endothelial alterations following silicone oil injection for retinal detachment repair.
Area of Science:
- Ophthalmology
- Corneal Science
- Retinal Surgery
Background:
- Silicone oil is frequently used in retinal detachment surgery.
- Endothelial cell damage can lead to corneal decompensation.
Observation:
- A case report of a 77-year-old male presenting with endothelial vesicles in the left eye.
- The patient had a history of pars plana vitrectomy and intraocular silicone oil injection 5 years prior.
Findings:
- Specular microscopy revealed numerous small bubbles of emulsified silicone oil on the corneal endothelium.
- Mild endothelial damage was observed, consistent with an apparent droplet-like endotheliopathy.
Implications:
- Emulsified silicone oil can adhere to the corneal endothelium.
- This adhesion may induce a distinct form of endotheliopathy, potentially impacting long-term corneal health.