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| OPHTHALMIC IMAGE |
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| Year : 2022 | Volume
: 2
| Issue : 2 | Page : 633 |
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Silicone oil emulsification on optical coherence tomography
Lalit Verma1, Yusra Asad2, Vijay Kumar3
1 Head, Vitreo Retina Services, Centre for Sight, New Delhi, India
2 Fellow, Vitreo Retina Surgery, Centre for Sight, New Delhi, India
3 Imaging Technician, Centre for Sight, New Delhi, India
| Date of Web Publication | 13-Apr-2022 |
Correspondence Address:
Yusra Asad
Vitreoretinal Services, Centre for Sight, B-5/24, Safdarjung Enclave, Opposite Deer Park, New Delhi - 110 029
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1876_21
How to cite this article:
Verma L, Asad Y, Kumar V. Silicone oil emulsification on optical coherence tomography. Indian J Ophthalmol Case Rep 2022;2:633 |
Silicone oil is one of the most common tamponade agents used after vitreoretinal surgeries.[1] However, its emulsification is a significant complication with adverse sequelae.[2] Factors causing emulsification have been examined and duration of silicone oil in the eye is found to have the strongest correlation.[3],[4] A 56-year-old diabetic lady was operated for left eye combined retinal detachment just before the COVID-19 pandemic and then lost to follow-up. She returned 18 months later with a hazy view due to silicone oil emulsification but a settled retina [Figure 1]a and [Figure 1]b. Her BCVA was 6/36, IOP 16 mmHg. OCT scans were remarkable for highly refractile dots in the vitreous, retina, RPE and choroid, akin to a 'starry sky,' and may even represent true migration of silicone oil vacuoles, rarely documented on imaging [Figure 1]c and [Figure 1]d.[5],[6],[7] Early removal of silicone oil may help in preventing emulsification. | Figure 1: (a and b) Fundus photographs showing a well-settled retina with laser photocoagulation marks and emulsified silicone oil along with its lower meniscus. (c and d) SD-OCT transverse radial scans showing highly refractile dots in the vitreous cavity-'starry sky,' with a normal foveal contour
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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.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
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| 6. | Zhong XF, Li YP, Lin JX, Zhang WX, Zheng JL, Ge J, et al. [Histopathological and ultrastructural characteristics of oil-associated complications in silicone oil-filled human eyes]. Zhonghua Yan Ke Za Zhi 2005;41:31-6. |
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