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Silicone oil migration in the eyelid after vitrectomy for retinal detachment
Jean-Claude Quintyn1, Olivier Genevois, Marie-Laure Ranty
1Department of Department of Ophthalmology, Rouen University Hospital-Charles Nicolle, Rouen, France qjc76@hotmail.com
Purpose:
To report a case of silicone oil intrusion in the upper eyelid, expressed by ptosis occurrence 19 years after surgery.
Methods:
Vitrectomy followed by transscleral subretinal fluid drainage and silicone oil tamponade was performed on a 57-year-old man for retinal detachment. Nineteen years later, the patient was referred for mobile subcutaneous lumps of the upper right eyelid. Preoperative examination showed total invasion of the eyelid by silicone oil, as confirmed by pathology.
Results:
Silicone oil leak developed through the transscleral drainage lumen and worsened with ocular hypertension. We assume that ptosis was induced by the weight of inflammatory tissue and consequently the development of a lymphoedema.
Conclusion:
We report a case of silicone ptosis. Two concomitant factors induced oil leakage: the puncture site and postoperative hypertonia.