Silicone oil migration into the orbit.

Authors:
Sana Ali Bautista
Sana Ali Bautista
Department of Ophthalmology
Edward J Wladis
Edward J Wladis
Lions Eye Institute
Chicago | United States
Martha Farber
Martha Farber
Albany Medical College
United States
Naomi S Falk
Naomi S Falk
Lions Eye Institute
United States
Dr. Paul O Phelps, MD
Dr. Paul O Phelps, MD
NorthShore University HealthSystem
Attending Surgeon
Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery, Ophthalmic Pathology
Chicago, IL | United States

Orbit 2018 Oct 4;37(5):368-370. Epub 2018 Jan 4.

Purpose: To report a case in of intravitreal silicone oil migration into the inferior orbit. Silicone oil tamponade is commonly used in retinal detachment repair and extrusion into the orbital tissues is very rare.

Methods: A 70-year-old male with a remote history of repair of a right ruptured globe and retinal detachment surgery presented with progressive right lower eyelid edema. There was a known history of intravitreal silicone oil instillation and removal. An elective right inferior orbitotomy with excisional biopsy was performed.

Results: Histopathology confirmed the presence of silicone oil intermixed with necrotic fat. The patient had excellent cosmetic and functional outcome.

Conclusion: The presence of silicone oil within the orbital fat may be a result of increased intraocular pressure and extrusion through presumably water-tight sclerotomy sites.

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Source
http://dx.doi.org/10.1080/01676830.2017.1423345DOI Listing
October 2018
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