Secondary glaucoma due to silicone oil trapped in the posterior chamber
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.
How to Cite
The Journal has a fully Open Access policy and publishes all articles under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. For any use other than that permitted by this license, written permission must be obtained from the Journal.