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[Extraocular silicone oil migration to orbit: a case report].
1Changsha Aier Eye Hospital, Aier School of Ophthalmology, Central South University, Changsha 410015, China.
[Zhonghua Yan Ke Za Zhi] Chinese Journal of Ophthalmology
|January 11, 2023
Summary
This study reports a rare case of silicone oil migrating outside the eye into the orbit and eyelid after vitreoretinal surgery. Surgical removal of the migrated silicone oil successfully treated the patient
Area of Science:
- Ophthalmology
- Ophthalmic Surgery
- Vitreoretinal Surgery
Background:
- Silicone oil is frequently used in vitreoretinal surgery for ocular trauma.
- Post-surgical removal of silicone oil is typically required within months.
- Extraocular migration of silicone oil is an infrequent complication.
Observation:
- A 41-year-old male experienced left upper eyelid swelling three years after silicone oil injection.
- Orbital CT revealed masses in the vitreous, eyelid, and orbit, suggesting mechanical ptosis.
Findings:
- Surgical excision of the orbital and eyelid masses revealed cystic spaces containing clear fluid.
- Histological examination showed delicate fibrous walls and small vessels within the cysts.
Implications:
- This case highlights an uncommon complication of silicone oil use in ophthalmic surgery.
- Successful surgical intervention improved the patient's mechanical ptosis and eyelid swelling.
