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Silicone oil-induced corneal hydrops?
H Desatnik1, I Ashkenazi, A Hirsh
1Goldschleger Eye Institute, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Annals of Ophthalmology
|August 1, 1992
Summary
A late corneal complication, possibly acute corneal hydrops, occurred three years after silicone oil injection for retinal detachment. This suggests a potential new risk associated with intraocular silicone oil use.
Area of Science:
- Ophthalmology
- Corneal Diseases
- Retinal Surgery
Background:
- Silicone oil injection is a common treatment for complicated retinal detachments.
- Corneal complications after silicone oil use are known but typically occur earlier.
Observation:
- A 27-year-old male patient developed symptoms of acute corneal hydrops in the left eye (OS).
- This occurred three years post-intracameral silicone oil injection for a complex retinal detachment.
- The patient had no prior history of keratoconus.
Findings:
- The clinical presentation mimicked acute corneal hydrops.
- Self-induced trauma was considered but not definitively proven.
- This case may represent a novel, late-onset corneal complication of intracameral silicone oil.
Implications:
- Intracameral silicone oil may be associated with delayed corneal complications.
- Ophthalmologists should consider silicone oil as a potential etiology for late corneal hydrops.
- Further research is needed to confirm this association and elucidate the mechanism.