Late-Onset Subretinal Silicone Oil Migration through Optic Disc Coloboma.

IF 0.5 Q4 OPHTHALMOLOGY

Case Reports in Ophthalmology Pub Date : 2025-04-04 eCollection Date: 2025-01-01 DOI:10.1159/000545661

Or Shmueli, Tareq Jaouni

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引用次数: 0

Abstract

Introduction: This report describes a case of late onset subretinal silicone oil migration in an eye with congenital optic disc coloboma and its treatment.

Case presentation: A 15-year-old male with a history of left eye congenital optic disc coloboma and amblyopia presented with a third recurrence of retinal detachment (RD) with proliferative vitreoretinopathy. The patient underwent PPV, subretinal fluid drainage through a peripheral retinotomy, silicone oil tamponade, and endolaser around the coloboma and retinotomy. The retina re-attached successfully. However, 14 months postoperatively examination revealed high intraocular pressure (IOP) of 33 mm Hg and a sub-macular bubble of silicone oil was evident. The patient underwent sub-macular silicone oil removal.

Conclusion: Here we describe the unique late-onset subretinal migration of intravitreal silicone oil following RD repair in an eye with optic disc coloboma in association with raised IOP. This case demonstrates potential mechanisms of subretinal silicone oil migration through the coloboma that serves as a passage and an increased IOP, which drives the oil from the vitreous to the subretinal space.

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迟发性视网膜下硅油通过视盘结肠瘤迁移。

简介：本报告报告一例先天性视盘结肠瘤伴迟发型视网膜下硅油移位及治疗。病例介绍：一名15岁男性，有左眼先天性视盘缺损和弱视病史，第三次复发视网膜脱离（RD）伴增生性玻璃体视网膜病变。患者接受了PPV，视网膜下液引流，周围视网膜切开，硅油填塞，结肠瘤周围激光和视网膜切开。视网膜成功地重新附着。然而，术后14个月检查显示高眼压（IOP） 33毫米汞柱，黄斑下有明显的硅油泡。患者行黄斑下硅油去除术。结论：在此，我们描述了视盘缺损伴IOP升高的眼RD修复后玻璃体内硅油独特的晚发性视网膜下迁移。本病例证明了视网膜下硅油通过结肠迁移的潜在机制，结肠作为通道并增加IOP，从而驱动油从玻璃体到视网膜下间隙。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Ophthalmology OPHTHALMOLOGY-

CiteScore

0.90

自引率

0.00%

发文量

129

审稿时长

12 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.