Ophthalmology, Manchester University NHS Foundation Trust, Manchester, UK
Ophthalmology, Manchester University NHS Foundation Trust, Manchester, UK.
BMJ Case Rep. 2023 Mar 23;16(3):e253413. doi: 10.1136/bcr-2022-253413.
A man in his 50s underwent vitrectomy surgery for a macular off retinal detachment which was complicated by intraoperative hypotony and suprachoroidal haemorrhage, resulting in the use of silicone oil tamponade. Postoperatively, several retained cysts of fluid were seen underneath the retina, one of which was large and close to the macular. Imaging was used to determine that this was likely retained silicone oil. Given the potential of migration to the macular and retinal toxicity, the decision was made to remove the larger oil bubbles under the retina. We explain how the oil may have got under the retina in this unusual case, how we dealt with it and discuss other cases of different substances under the retina and their appearance on ocular imaging.
一位 50 多岁的男性因黄斑裂孔视网膜脱离接受玻璃体切除术，术中出现低眼压和脉络膜下出血，导致硅油填充。术后，视网膜下可见多个残留的液体囊肿，其中一个较大且靠近黄斑。影像学检查提示可能为残留硅油。鉴于硅油向黄斑和视网膜迁移的可能性以及视网膜毒性，决定去除视网膜下较大的硅油泡。我们解释了在这种不寻常的情况下油是如何进入视网膜下的，我们如何处理它，并讨论了视网膜下其他不同物质及其眼部影像学表现的其他病例。
