Suprachoroidal silicone oil migration following 27 gauge 3 ports pars plana vitrectomy – a rare complication and its management

Authors

  • Fiza Shaheen Department of Ophthalmology, Al-Shifa Trust Eye Hospital, Islamabad, Pakistan
  • Sahar Fatima Department of Ophthalmology, Shifa College of Medicine, Islamabad, Pakistan
  • Hashim Ali Khan Department of Ophthalmology, SEHHAT Foundation Hospital, Danyor, Pakistan
  • Muhammad Amer Awan Department of Ophthalmology, Shifa International Hospital, Islamabad, Pakistan

DOI:

https://doi.org/10.47391/JPMA.6823

Abstract

Suprachoroidal silicone oil migration is an unusual complication of small gauge 3 ports Pars plana vitrectomy (3PPV) system. Our objective is to report a retrospective, observational case of an intra-operative suprachoroidal silicone oil (SO) migration during 27 gauge 3PPV and its successful surgical management. A 49 years old type 2 male patient with diabetes presented to the ophthalmology outpatient department with reduced visual acuity in his right eye. He was diagnosed as having tractional retinal detachment involving macula. During combined phaco-vitrectomy following injection of SO, peripheral choroidal elevations were noted suggesting suprachoroidal SO migration. In an attempt to drain this intra-operatively nasal sclerotomy was enlarged. Post-operative B scan showed significant choroidal detachment for which patient was re-scheduled for surgery after 1 day. Three radial trans-scleral incisions (2 nasal and 1 temporal) for drainage were made at the site of maximum choroidal detachment.

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References

CIBIS PA, BECKER B, OKUN E, CANAAN S. The Use of Liquid Silicone in Retinal Detachment Surgery. Arch Ophthalmol. 1962;68(5):590–599.

Dong FT, Dai RP, Zheng L, Yu WH. Migration of intraocular silicone into the cerebral ventricles. Am J Ophthalmol. 2005;140(1):156–158.

Quintyn JC, Genevois O, Ranty ML, Retout A. Silicone oil migration in the eyelid after vitrectomy for retinal detachment. Am J Ophthalmol. 2003;136(3):540–542.

Nazemi PP, Chong LP, Varma R, Burnstine MA. Migration of intraocular silicone oil into the subconjunctival space and orbit through an Ahmed glaucoma valve.Am J Ophthalmol. 2001;132(6):929–931.

Dithmar S, Schuett F, Voelcker HE, Holz FG. Delayed sequential occurrence of perfluorodecalin and silicone oil in the subretinal space following retinal detachment surgery in the presence of an optic disc pit.Arch Ophthalmol. 2004;122(3):409–411.

Danylkova N, MD, Gupta N, Jhaveri C,Gill M. Suprachoroidal Silicone Oil Migration Following Retinal Detachment Repair. Ophthalmic Surgery, Lasers and Imaging Retina. 2013;44(3):284-286

OshimaY,Wakabayashi T, Sato T, Ohji M, Tano Y. A 27-gauge instrument system for transconjunctivalsuturelessmicroincision vitrectomy surgery. Ophthalmology, 2010;117 (1): 93-102.

Manish Nagpal, GauravParanjpe, Pravin Jain, RiturajVidekar. Advances in small-gauge vitrectomy.Taiwan Journal of OphthalmologyVolume 2 Issue 1,2012:6- 12.(Manish Nagpal, 2012)

Emi K, Pederson JE, Toris CB. Hydrostatic pressure of the suprachoroidal space. Invest Ophthalmol Vis Sci 1989; 30(2): 233–238.

Zhang, T., Wei, Y., Zhang, Z. et al. Intraoperative choroidal detachment during small-gauge vitrectomy: analysis of causes, anatomic, and visual outcomes. Eye (2021).

Published

2023-05-15

How to Cite

Fiza Shaheen, Sahar Fatima, Hashim Ali Khan, & Muhammad Amer Awan. (2023). Suprachoroidal silicone oil migration following 27 gauge 3 ports pars plana vitrectomy – a rare complication and its management. Journal of the Pakistan Medical Association, 73(6), 1314–1315. https://doi.org/10.47391/JPMA.6823

Issue

Section

Case Report