Blepharoptosis and Upper Eyelid Swelling Due to Lipogranulomatous Inflammation Caused by Silicone Oil

Donker, Diane L.T.; Paridaens, Dion; Mooy, Cornelia M.; Bosch, W A van den

doi:10.1016/j.ajo.2005.05.028

Cited by 36 publications

(25 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Few reports demonstrated silicone oil migration into the subconjunctival space, eyelid, optic nerve, or brain [2–4, 7, 8]. There have been 3 cases of silicone oil intrusion in the upper eyelid 1, 8, and 19 years after vitreoretinal surgery [2, 8], and Nazemi et al [4] reported 1 case of subconjunctival silicone oil granuloma leaked through Ahmed glaucoma valve. Srinivasan et al [9] described 2 cases of episcleral granulomas adjacent to vitrectomy entry sites after silicone oil tamponade.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Subconjunctival and Orbital Silicone Oil Granuloma (Siliconoma) Complicating Intravitreal Silicone Oil Tamponade

Lee

Kim

Woo

et al. 2014

Case Reports in Ophthalmological Medicine

View full text Add to dashboard Cite

A 30-year-old male, who underwent previous pars plana vitrectomy and silicone oil tamponade due to endogenous endophthalmitis originated from Klebsiella liver abscess, was referred for evisceration. At 2 months after vitrectomy with silicon oil tamponade, conjunctival chemosis and ocular pain were aggravated. Diffuse eyelid swelling and large subconjunctival mass with lipid droplets were noted. On MRI examination, subconjunctival mass and intra- and extraconal orbital mass around superior rectus muscle were observed. Excision of subconjunctival and orbital mass was performed. Histopathologic examination showed multiple silicone oil vacuoles surrounded by foreign body giant cells and fibrosis, which confirmed silicone oil granuloma. In a patient with suspicious melting sclera in diseases such as endophthalmitis, large silicone oil granuloma may be complicated in a rapid fashion after intravitreal silicone oil tamponade due to silicone oil leakage.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Although it has been known to be inert material, a number of complications such as cataract, glaucoma, and retinal toxicity have been reported [1]. However, there are few extraocular complications associated with silicone oil leakage following retinal surgery with silicone oil tamponade [2–4]. …”

Section: Introductionmentioning

confidence: 99%

Subconjunctival and Orbital Silicone Oil Granuloma (Siliconoma) Complicating Intravitreal Silicone Oil Tamponade

Lee

Kim

Woo

et al. 2014

Case Reports in Ophthalmological Medicine

View full text Add to dashboard Cite

show abstract

“…They also supposed that the ptosis was induced by the weight of the inflammatory tissue, which consequently prompted the development of a lymphoedema. Two years later, Donker et al 5 reported the case of two patients who had presented with unilateral upper eyelid swelling and ptosis 1 and 8 years, respectively, after vitreoretinal surgery with intraocular silicone oil injection. They presumed that for the first patient silicone oil had leaked from the eye during or after surgery, whereas for the second patient silicone oil had probably been left behind in the space previously occupied by the epibulbar buckle.…”

Section: Discussionmentioning

confidence: 99%

Mechanical Blepharoptosis and Eyelid Swelling Caused by Silicone Oil

Mustafa

Al-Zuoby

Alawneh

2009

Journal of Optometry

View full text Add to dashboard Cite

The purpose of this article is to report a case of upper eyelid mechanical ptosis caused by silicone oil migration in a Jordanian patient after pars plana vitrectomy and intraocular silicone oil injection. A 20-year-old male patient was referred to the oculoplastic clinic for the management of a left upper eyelid swelling and complete ptosis that developed 12 years after pars plana vitrectomy and silicone oil placement for retinal detachment secondary to perforating eye injury. Eye examination showed upper eyelid swelling and a complete ptosis induced by the weight of inflammatory tissue and silicone oil, as proved by histopathologic examination. We presumed that silicone oil had leaked through the pars plana vitrectomy ports or through a subtle traumatic perforation of the posterior segment, which might have been aggravated by increased intra-ocular pressure postoperatively. In conclusion, mechanical ptosis caused by silicone oil migration after retinal detachment surgery is rare and this is one of the few reports in the literature. RESUMENEl objetivo de este artículo es describir un caso de ptosis mecánica del párpado superior causada por el desplazamiento del aceite de silicona. Este caso se observó en un paciente jordano tras someterse a vitrectomía pars plana y a una inyección intraocular de aceite de silicona. Un paciente varón de 20 años de edad fue derivado a la unidad de oculoplastia para el tratamiento de la inflamación del párpado superior izquierdo y de una ptosis completa, aparecidas 12 años después de someterse el paciente a una vitrectomía pars plana y a la colocación de aceite de silicona para el desprendimiento de retina que se produjo a consecuencia de un traumatismo ocular perforante. En la exploración ocular se apreció una inflamación en el párpado superior, así como ptosis completa provocada por el peso del tejido inflamado y por el aceite de silicona, tal y como demuestra el examen histopatológico. Supusimos que el aceite de silicona se había filtrado a través de los puertos de la vitrectomía pars plana o a través de una leve perforación traumática del segmento posterior, hecho que podría haberse visto agravado por un aumento de la presión intraocular ocurrido tras la operación. Como conclusión: la ptosis mecánica causada por el desplazamiento del aceite de silicona inyectado para tratar un desprendimiento de retina es poco frecuente; de hecho, éste es uno de los pocos casos que se encuentran en la literatura.

show abstract

“…There are several reports of intraocular silicone oil migration into the subconjunctival space [1, 2, 3, 4, 5], the orbit [5, 6, 7] and even the central nervous system [8, 9, 10, 11]. However, to our knowledge, there are only two reports, describing three cases in total, with intraocular silicone oil migration into the upper eyelid causing ptosis as a postoperative complication [12, 13]. Herein, we report a case with this rare complication.…”

Section: Introductionmentioning

confidence: 99%

Migration of Intraocular Silicone Oil from the Vitreous Cavity into the Upper Eyelid Causing Ptosis

Deguchi¹,

Maeno²,

Hori³

et al. 2014

Case Rep Ophthalmol

View full text Add to dashboard Cite

Introduction: To report a case in which intraocular silicone oil migrated into the upper eyelid and caused ptosis. Methods: A 65-year-old woman presented with proliferative vitreoretinopathy in the right eye. Vitrectomies, injection of silicone oil and encircling were performed. Two months after the last operation, swelling of her right eyelid occurred. Result: Magnetic resonance imaging revealed moisture in the palpebral fat tissue. We incised the bulbar conjunctiva and confirmed silicone oil leakage from the vitreous cavity through the scleral button hole of the encircling suture. Postoperatively, the right upper eyelid swelling decreased. Histopathologically, dense macrophage infiltration was seen in the palpebral tissues. Conclusions: We report a rare case with a postoperative complication caused by silicone oil. In cases with swelling of the eyelid and decreased silicon oil in the vitreous cavity postoperatively, clinicians should consider the possibility of silicone oil leakage.

show abstract

Blepharoptosis and Upper Eyelid Swelling Due to Lipogranulomatous Inflammation Caused by Silicone Oil

Cited by 36 publications

References 2 publications

Subconjunctival and Orbital Silicone Oil Granuloma (Siliconoma) Complicating Intravitreal Silicone Oil Tamponade

Subconjunctival and Orbital Silicone Oil Granuloma (Siliconoma) Complicating Intravitreal Silicone Oil Tamponade

Mechanical Blepharoptosis and Eyelid Swelling Caused by Silicone Oil

Migration of Intraocular Silicone Oil from the Vitreous Cavity into the Upper Eyelid Causing Ptosis

Contact Info

Product

Resources

About