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Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 301

Sub-bulbar conjunctival “sago-pearls”

Department of Vitreo Retina, Netralaya Superspeciality Eye Hospital, Ahmedabad, Gujarat, India

Date of Web Publication07-Jan-2022

Correspondence Address:
Dr. Kushal Delhiwala
Netralaya Superspeciality Eye Hospital, KD House, 1st Floor, Above Andhra Bank, Parimal Cross Roads, Ellisbridge, Ahmedabad - 380 006, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1552_21

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How to cite this article:
Delhiwala K, Patel R, Khamar B. Sub-bulbar conjunctival “sago-pearls”. Indian J Ophthalmol Case Rep 2022;2:301

How to cite this URL:
Delhiwala K, Patel R, Khamar B. Sub-bulbar conjunctival “sago-pearls”. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Jan 16];2:301. Available from: https://www.ijoreports.in/text.asp?2022/2/1/301/334888

A 70-year-old pseudophakic male underwent successful sutured (7-0 polyglactin) 23-gauge vitrectomy with silicone oil (SiO) tamponade for right eye total rhegmatogenous retinal detachment (RD). At 1-month follow-up, visual acuity improved to 20/120. Slit-lamp evaluation revealed a small shiny subconjunctival (SC) SiO-bubble in the inferotemporal quadrant, which increased significantly in numbers over the subsequent three months [Figure 1]a and [Figure 1]b]. They were discrete, paralimbal in all quadrants mimicking “Sago-pearls.” Anterior chamber was quiet with normal intraocular pressure. Fundus showed inferior recurrent-RD under a large single SiO bubble [Figure 1]c. Cumulative increase of SiO bubbles in the SC space may be related to gradual SiO migration through late onset micro-leakage from small-gauge sclerotomies despite meticulous suturing.[1],[2],[3],[4]
Figure 1: (a) Anterior segment photograph of the right eye showing multiple subconjunctival silicone oil bubbles resembling “Sago-pearls” appearance (black arrow). These are adjacent to each other around the limbus and also extend toward the inferior fornix. (b) Magnified view of silicone oil bubbles (Sago-pearls) in the lower half. (c) Ultra-widefield fundus photograph of the right eye showing inferior recurrent retinal detachment (white arrow) under single silicone oil bubble

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Biswas J, Bhende PS, Gopal L, Parikh S, Badrinath SS. Subconjunctival cysts following silicone oil injection: A clinicopathological study of five cases. Indian J Ophthalmol 1999;47:177-80.  Back to cited text no. 1
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Tibrewal S, Khurana R, Venkatesh R, Ganesh S. Subconjunctival silicone oil complicating strabismus surgery. GMS Ophthalmol Cases 2019;9:Doc12.  Back to cited text no. 2
Teixeira A, Allemann N, Yamada AC, Uno F, Maia A, Bonomo PP. Ultrasound biomicroscopy in recently postoperative 23-gauge transconjunctival vitrectomy sutureless self-sealing sclerotomy. Retina 2009;29:1305-9.  Back to cited text no. 3
Cunha LP, Primiano Júnior HP, Nakashima A, Trein Júnior JA, Ghanem RC, Santo RM, et al. Subconjunctival deposit of silicone oil after vitreoretinal surgery. Arq Bras Oftalmol 2007;70:589–92.  Back to cited text no. 4


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