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OPHTHALMIC IMAGE
Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 239

Capsular neovascularization subsequent to silicone oil–induced pupillary block


Pediatric Ophthalmology and Squint Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India

Date of Web Publication20-Jan-2023

Correspondence Address:
Neelam Pawar
Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Tirunelveli, S.N. High Road, Tirunelveli Junction, Tamil Nadu - 627 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1795_22

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How to cite this article:
Pawar N, Ravindran M, Paranjape M. Capsular neovascularization subsequent to silicone oil–induced pupillary block. Indian J Ophthalmol Case Rep 2023;3:239

How to cite this URL:
Pawar N, Ravindran M, Paranjape M. Capsular neovascularization subsequent to silicone oil–induced pupillary block. Indian J Ophthalmol Case Rep [serial online] 2023 [cited 2023 Feb 1];3:239. Available from: https://www.ijoreports.in/text.asp?2023/3/1/239/368170



Anterior ocular neovascularization may develop in eyes with chronic anterior segment ischemia, vascular occlusive retinal pathologies, peripheral retinal detachment, or long proliferative vitreoretinopathy.[1],[2] In such cases due to ocular ischemia, angiogenic factors are produced that diffuses from the vitreous to the anterior chamber, resulting in neovascularization of the iris and lens. Neovascularization of the crystalline lens in pediatric patients have been rarely reported in literature.

A 13-year-old boy presented to us who had history of left eye scleral buckling with endolaser accompanied by membrane peeling and pars plana vitrectomy with silicone oil injection done under general anesthesia. After 3 months since initial surgery, he developed silicone oil–induced angle-closure glaucoma, complicated cataract, and silicone oil in anterior chamber along with capsular neovascularization (NVC).

Slit-lamp biomicroscopy showed a mydriatic pupil with silicone oil blocking pupil, absence of neovascularization of the iris (NVI) and total cataract with a fine circumferential radiating spoke-like net of anterior capsular vessel over 360° [Figure 1]. The gonioscopy showed obscuration of the anterior chamber.
Figure 1: Slit-lamp biomicroscopy showing a mydriatic pupil with silicone oil blocking pupil, total cataract with a fine circumferential radiating spoke-like net of anterior capsular vessel over 360°

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Our case had NVC in the absence of neovascularization of the iris which is not commonly seen in pediatric patients.

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 Top

1.
Kabat AG. Lenticular neovascularization subsequent to traumatic cataract formation. Optom Vis Sci 2011;88:1127-32.  Back to cited text no. 1
    
2.
Gupta S, Gogia V, Ramya A, Sihota R. Capsular neovascularisation: case report and review of literature. Eye (Lond) 2014;28:358-9.  Back to cited text no. 2
    


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