Retrobulbar and peribulbar leakage of vitreous silicone oil of right eye
Presentation
Pain and periocular soft tissue swelling of a right eye after a direct blow to the right eye, five days following vitreous silicon gel injection for the treatment of retinal detachment.
Patient Data
Both eyes are egg-shaped and have a thin uveo-scleral layer compatible with chorioretinal coloboma. Density within the right eye vitreous is a Silicone oil that has been injected within the right eye vitreous that extravasates through a small defect in the nasal side uveo-scleral layer of the right eye within peribulbar and retrobulbar regions. The right eye has no lens and the left eye has an intraocular lens.
Case Discussion
The case illustrates the right eye silicone gel leakage through a defect within the nasal side of the right eye uveo-scleral layer is a rare event. Chorioretinal coloboma on both sides is seen which is a leading cause of retinal detachment. The silicone oil is usually injected within the vitreous body for retinal detachment and after vitrectomy for preserving the retina and shape of the eye respectively and must not be mistaken for vitreous haemorrhage.
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