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| OPHTHALMIC IMAGE |
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| Year : 2023 | Volume
: 3
| Issue : 2 | Page : 623 |
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Subconjunctival silicone oil: Perils of suture-less vitrectomy
Abhidnya Surve1, Somya Kumari2, Vinod Kumar2
1 Vitreo-Retina, Trauma and Uvea Services, Dr. Hedgewar Hospital, Aurangabad, Maharashtra, India
2 Vitreo-Retina, Trauma and Uvea Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
| Date of Web Publication | 28-Apr-2023 |
Correspondence Address:
Vinod Kumar
Vitreo-Retinal, Trauma and Uvea Services, Dr. R.P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1958_22
How to cite this article:
Surve A, Kumari S, Kumar V. Subconjunctival silicone oil: Perils of suture-less vitrectomy. Indian J Ophthalmol Case Rep 2023;3:623 |
Silicone oil is one of the key adjuncts even in modern microincision vitrectomy surgeries (MIVS). While several of its complications are well known, one complication that is specific to MIVS is the subconjunctival migration of oil, especially with high myopes and nystagmus cases.[1],[2] This may range from small-sized [Figure 1]a to medium-sized [Figure 1]b silicone oil bubbles in the subconjunctival space, which at times can be massive too [Figure 1]c. These subconjunctival oil bubbles may lead to chronic inflammation and conjunctival scarring and defeat the very purpose of MIVS.[3] Therefore, one should have a low threshold for suturing the sclerotomies in MIVS, especially when using silicone oil as tamponade. | Figure 1: Subconjunctival silicone oil of various sizes ranging from small (a) to medium (b) to large (c)
Click here to view |
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Chen Y, Kearns VR, Zhou L, Sandinha T, Lam WC, Steel DH, et al. Silicone oil in vitreoretinal surgery: Indications, complications, new developments and alternative long-term tamponade agents. Acta Ophthalmol 2021;99:240-50.  |
| 2. | Valentín-Bravo FJ, García-Onrubia L, Andrés-Iglesias C, Valentín-Bravo E, Martín-Vallejo J, Pastor JC, et al. Complications associated with the use of silicone oil in vitreoretinal surgery: A systemic review and meta-analysis. Acta Ophthalmol 2022;100:e864-80. |
| 3. | Lee JH, Kim Y-D, Woo KI, Kong M. Subconjunctival and orbital silicone oil granuloma (Siliconoma) complicating intravitreal silicone oil tamponade. Case Rep Ophthalmol Med 2014;2014:e686973. |
[Figure 1]
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