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DOUBLE PSEUDOHYPOPYON FROM EMULSIFIED HEAVY SILICONE OIL
Khalil Ghasemi Falavarjani1, Mehdi Modarres
1Eye Research Center and Department of Ophthalmology, Iran University of Medical Sciences, Tehran, Iran.
Retinal Cases & Brief Reports
|April 15, 2016
Summary
This case study reports a rare instance of double pseudohypopyon caused by emulsified heavy silicone oil. It highlights potential silicone oil decomposition over time, leading to unexpected visual complications.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Heavy silicone oil (Oxane HD) is used for retinal detachment tamponade.
- Long-term complications of silicone oil tamponade require ongoing investigation.
Observation:
- A patient developed a double pseudohypopyon in the anterior chamber.
- This was due to emulsification of heavy silicone oil 18 months post-vitrectomy.
Findings:
- The emulsified heavy silicone oil formed a pseudohypopyon inferiorly.
- Decomposition of Oxane HD also created an inverted pseudohypopyon superiorly.
Implications:
- This case underscores the potential for silicone oil decomposition over time.
- Ophthalmologists should be aware of this rare complication for accurate diagnosis and management.

