From Vitreous to Ventricles: Serial Imaging of Intracranial Silicone Oil Migration.

IF 0.8 Q4 OPHTHALMOLOGY

Journal of VitreoRetinal Diseases Pub Date : 2025-07-23 DOI:10.1177/24741264251358618

Christian P Pappas, Anna M Waldie, Parth R Shah

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Abstract

Purpose: To review a case of intracranial silicone oil (SO) migration with mobile intraventricular deposits and analyze serial imaging features over 53 postoperative months. Methods: A single case report and literature review were presented. Results: A 52-year-old man with advanced bilateral proliferative diabetic retinopathy who had placement of 1000 mPa.s viscosity Oxane 1300 SO (Bausch + Lomb) in the right eye presented with sudden loss of consciousness 31 and 53 months postoperatively. Serial computed tomography and magnetic resonance imaging showed progressive intracranial migration of SO with unilateral optic nerve, optic chiasm, bilateral mobile intraventricular deposits, and progressive parenchymal atrophy. Conclusions: Intracranial migration of intravitreal SO is an exceedingly rare complication thought to be associated with suboptimal postoperative intraocular pressure control and anatomic optic disc abnormalities, with variable symptomatology and uncertain clinical significance. Early and complete removal of SO is generally advised, while also maintaining adequate postoperative pressure control in susceptible eyes.

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从玻璃体到脑室：颅内硅油迁移的连续成像。

目的：回顾1例颅内硅油（SO）迁移伴脑室内移动沉积物，分析术后53个月的影像学特征。方法：进行病例报告和文献复习。结果：52岁男性，患有晚期双侧增殖性糖尿病视网膜病变，放置1000mpa。术后31、53个月右眼出现突然意识丧失。连续计算机断层扫描和磁共振成像显示进行性脑内移位，伴有单侧视神经、视交叉、双侧脑室内移动沉积物和进行性脑实质萎缩。结论：玻璃体内SO颅内移位是一种极为罕见的并发症，被认为与术后眼压控制不佳和解剖性视盘异常有关，其症状多样，临床意义不确定。通常建议早期完全切除SO，同时在易受影响的眼睛中保持适当的术后压控制。

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

Journal of VitreoRetinal Diseases

CiteScore

1.20

自引率

16.70%

发文量