Secondary glaucoma due to silicone oil trapped in the posterior chamber

Authors

  • Lingam Gopal Vitreoretinal Service, Sankara Nethralaya, Vision Research Foundation, 18 College Road, Chennai 600 006, India.
  • Lingam Vijaya Vitreoretinal Service, Sankara Nethralaya, Vision Research Foundation, 18 College Road, Chennai 600 006, India.

Abstract

Aim: To describe an unusual complication of silicone oil usage. 

Materials and methods: A 58-year-old myopic patient with pseudophakia and recurrent retinal detachment underwent vitrectomy with silicone oil tamponade. Three weeks after surgery, he developed secondary glaucoma with oil filling the anterior chamber. YAG iridotomy resulted in the oil moving between the iris and the intraocular lens leading to a flat anterior chamber. YAG capsulotomy did not cause the oil to enter the vitreous cavity. Emergency oil removal was performed. 

Results: Removal of oil from the posterior chamber and vitreous cavity resulted in control of intraocular pressure. 

Conclusion: Subclinical zonular dehiscence could cause oil to enter the anterior chamber in pseudophakic eyes. Creation of a 6 o’clock iridotomy can move the oil behind the iris but not into the vitreous cavity.

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Published

1999-12-01

How to Cite

1.
Gopal L, Vijaya L. Secondary glaucoma due to silicone oil trapped in the posterior chamber. Hong Kong J Ophthalmol [Internet]. 1999Dec.1 [cited 2021Oct.27];3(1):46-7. Available from: https://hkjo.hk/index.php/hkjo/article/view/151

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Section

Brief Report