Adhesion of heavy silicone oil to the anterior surfaces of the posterior lens capsule.

PURPOSE

To report a case of heavy silicone oil adhesion to the anterior surfaces of posterior lens capsule.

METHODS

Descriptive case report.

RESULTS

A healthy 56-year-old pseudophakic man presented with visual disturbance in his right eye for a week. There was a large irregular retinal tear at 5-7 o'clock, mild vitreous hemorrhage, and total retinal detachment. He underwent 23-G pars plana vitrectomy and heavy silicone oil tamponade was injected. The retina remained attached postoperatively and heavy silicone oil was removed 2 months later. Anatomic and functional success was achieved and his vision had improved. Five months later, he presented with blurred and decreased vision secondary to tiny droplets of heavy silicone oil at the anterior surfaces of the posterior capsule. After applying Nd:YAG laser capsulotomy, visual acuity improved and stayed stable during 1 year follow-up.

CONCLUSIONS

Heavy silicone oil adhesion to the anterior surfaces of the posterior lens capsule has not been reported before. This complication may be seen rarely and treated by Nd:YAG laser capsulotomy successfully.