Adnexal Service, Moorfields Eye Hospital, City Road, London EC1V 2PD.
Polyclinique Atlantique, Avenue Claude Bernard BP 40419, 44800 Saint-Herblain, France.
Ophthalmic Plast Reconstr Surg. 2020 May/Jun;36(3):e75-e78. doi: 10.1097/IOP.0000000000001588.
Silicone oil migration into the periorbital tissues occurs rarely after vitreo-retinal surgery and two cases are reported. The first case was a 48-year-old woman who presented with a blind painful right eye, upper eyelid swelling, and ptosis after multiple vitreo-retinal surgeries. Diffuse infiltration of silicone oil in the upper eyelid and anterior orbit was found during evisceration, mainly around the plate of a Baerveldt glaucoma valve. In the second case, a 69-year-old man with prior right scleral rupture underwent silicone oil tamponade for retinal detachment and presented with right upper eyelid swelling due to multiple silicone oil granulomas within the orbit. Open globe injury and glaucoma drainage devices both appear to facilitate extraocular migration of silicone oil that results in marked orbital infiltration and inflammatory response.
硅油向眼眶组织内迁移在玻璃体视网膜手术后很少发生，但有两例报告。第一例是一位 48 岁女性，在多次玻璃体视网膜手术后出现右眼失明伴疼痛、上眼睑肿胀和上睑下垂。眼球摘除术中发现硅油在上眼睑和前眶弥漫性浸润，主要围绕 Baerveldt 青光眼阀的盘。第二例为 69 岁男性，因右眼巩膜破裂行硅油填塞术治疗视网膜脱离，因眶内多个硅油肉芽肿导致右上眼睑肿胀。开放性眼外伤和青光眼引流装置似乎都可促进硅油的眼外迁移，导致明显的眼眶浸润和炎症反应。
