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| OPHTHALMIC IMAGE |
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| Year : 2023 | Volume
: 3
| Issue : 2 | Page : 608 |
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Bubble-wrap conjunctiva
Manavi D Sindal, Suresh Kumar Mekala
Vitreoretina Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Pondicherry, India
| Date of Web Publication | 28-Apr-2023 |
Correspondence Address:
Manavi D Sindal
Vitreoretina Services, Aravind Eye Hospital, Thavalakuppam, Cuddalore Main Road, Pondicherry - 605 007
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/IJO.IJO_3324_22
How to cite this article:
Sindal MD, Mekala SK. Bubble-wrap conjunctiva. Indian J Ophthalmol Case Rep 2023;3:608 |
A monocular high myope, post-trabeculectomy 8 years ago developed macular hole-related retinal detachment. She underwent pars plana vitrectomy with silicon oil (SO) tamponade. Post-operatively due to extensive subconjunctival SO migration via trabeculectomy ostium, there was an intractable increase in intraocular pressure (IOP).[1] This diffuse-illumination slit-lamp image shows subconjunctival SO in the area of the bleb and an early superonasal staphyloma at the sclerotomy site. The subconjunctival SO gives a bubble-wrap appearance [Fig 1]. Following SO removal, the retina was attached and IOP was stabilized with antiglaucoma medications. SO migration via sclerotomy[1],[2] or necrotic sclera[3] has been noted. | Figure 1: Subconjunctival SO in the area of the bleb (a) and early staphyloma at the superonasal sclerotomy site (asterisk). (b) Peripheral iridectomy (white arrow) and SO in the area of the bleb and temporal subconjunctival space giving a bubble-wrap appearance.
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Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | 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.  [ PUBMED] [Full text] |
| 2. | Ling J, Wykoff CC, Chévez-Barrios P. Subconjunctival silicon oil cysts. Ophthalmol Retina 2017;1:560. |
| 3. | Lee JH, Kim YD, Woo KI, Kong M. Subconjunctival and orbital silicone oil granuloma (siliconoma) complicating intravitreal silicone oil tamponade. Case Rep Ophthalmol Med 2014;2014:686973. |
[Figure 1]
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