Abstract
Silicone oil continues to be an important aid in retinal detachment surgery. We report a case in which disparate responses to silicone oil were noted in the conjunctiva and intraocularly. Intraocularly, the oil permeated a fibrous membrane that formed behind a keratoprosthesis, the first example of this phenomenon. We detail the histological response to the oil at this site as well as a distinctly different reaction present to oil in the conjunctiva of the same eye. The divergence of histological responses provides a demonstration of the eye's apparent retained capacity to protect against intraocular inflammation, despite multiple previous surgeries.
Highlights
Silicone oil continues to be an important aid in retinal detachment surgery
As complications of its use, we report a 52-year-old man with ocular mucous membrane pemphigoid (MMP) who developed disparate responses to silicone oil in the conjunctiva and intraocularly
After the valve was in place, the pressure remained well-controlled, but in January 2012, the patient developed a macula-off retinal detachment for which 1,000 cSt of silicone oil was placed during retinal detachment repair
Summary
Silicone oil continues to be an important aid in retinal detachment surgery. We report a case in which disparate responses to silicone oil were noted in the conjunctiva and intraocularly. As complications of its use, we report a 52-year-old man with ocular mucous membrane pemphigoid (MMP) who developed disparate responses to silicone oil in the conjunctiva and intraocularly. After the valve was in place, the pressure remained well-controlled, but in January 2012, the patient developed a macula-off retinal detachment for which 1,000 cSt of silicone oil was placed during retinal detachment repair.
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