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Corneal perforation associated with silicone oil in the anterior chamber
Faris R Ghosheh1, Christopher J Rapuano
1Cornea Service, Wills Eye Institute, Philadelphia, PA 19107, USA.
Purpose:
To describe the management of three cases of corneal perforation associated with silicone oil in the anterior chamber.
Methods:
Review of 3 case records.
Results:
Three cases of perforation associated with silicone oil in the anterior chamber are reviewed. One patient required gluing and a bandage contact lens, whereas the second patient required an emergency corneal transplantation. The third patient responded to conservative measures, including the use of topical antibiotic ointment.
Conclusions:
Corneal perforation associated with silicone oil in the anterior chamber is rare and can be difficult to manage. Potential treatments including the use of cyanoacrylate glue, application of antibiotic ointments, use of aqueous suppressants, and other conservative measures may be effective. In extreme cases, corneal transplantation may be necessary.
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