Presentation
Sudden onset neurological symptoms in a poorly controlled type 1 diabetic. Prior history of left retinal detachment and stroke.
Patient Data
Age: 35 years
Gender: Female
From the case:
Intra-ocular silicone oil
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Hyperdense left vitreous corresponds to intra-ocular injection of silicone oil used as a means of tamponading the left retina, thus preventing re-detachment.
Established left cerebellar hemisphere and left thalamic infarcts.
Case Discussion
The hyperdense appearance of intra-ocular silicone oil could be misinterpreted as acute, intra-ocular hemorrhage by the unwary clinician unless the appropriate history is obtained.
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