Importance of individualized treatment: Subconjunctival device in silicone oil-induced glaucoma.

Abstract

Although silicone oil is used as an intraocular buffer in vitreoretinal surgical procedures, its use can cause complications, including glaucoma. This study highlights the importance of individualized approaches for the management of silicone oil-induced glaucoma. A 62-year-old man with a past medical history of retinal detachment and multiple ocular surgical procedurespresented with uncontrolled ocular pressure peaks after retinal detachment surgery using silicone oil as a buffer, which did not resolve after removal of the buffer. We decided to perform anterior chamber lavage followed by the implantation of a subconjunctival drainage device in the lower nasal location to minimize complications and maintain good visual acuity. Silicone oil extraction is usually the treatment of choice, although it can cause fluctuations in intraocular pressure. In this case, a more physiological and less invasive approach was chosen with the implantation of a Presserflo® device in the lower nasal region, avoiding complications and achieving the preoperative goals without uneventfully.