Upper Eyelid Silicone Oil Migration After Sutureless 23-Gauge Vitrectomy

Document Type : CASE REPORT

Authors
Alireza Dehghani 1
Leila Rezaei 2
Ali Tavallali 3
Zahra Dastborhan 4
1 Isfahan Eye Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2 Emam Khomeini Eye Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
3 Vitreous-Retina-Macula Consultants of New York, 460 Park Ave, Fifth Floor, New York, NY 10022, United States
4 Eye Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
To report a case of upper eyelid swelling and ptosis caused by silicone oil migration in a patient after sutureless 23-gauge pars plana vitrectomy and silicone oil injection. A 36-year-old female was referred to eye clinic with total retinal detachment (RD) and superotemporal giant dialysis secondary to trauma in the left eye. Transconjunctival sutureless 23-gauge pars plana vitrectomy and intraocular silicone oil (1300 centistokes) injection were performed. After about 5 months, she came back with the left upper eyelid and periorbital swelling. Palpation of the eyelid revealed soft and mobile subcutaneous small lumps that were not attached to the skin. Computed tomography scan of the orbit showed an 11 mm × 8 mm soft tissue density mass in lateral aspect of the left orbit. Transcutaneously surgical exploration was performed. The patient was seen after 1 week postoperatively and there was a significant improvement of the ptosis. Eyelid swelling and ptosis caused by silicone oil migration after RD surgery are very rare and this is one of the few reports in literature.

Keywords

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Advanced Biomedical Research
Volume 2017, May
May 2017
Pages 1-3