A rare presentation of silicone oil induced secondary glaucoma with 360 degree iris bombe formation

Rashi Kochar; Nisha Ahuja; Hitendra Parmar; Pushkal Katara

doi:10.18203/2320-6012.ijrms20233052

Authors

Rashi Kochar Department of Cataract Surgery, Sankara Eye Hospital, Anand, Gujarat, India
Nisha Ahuja Department of Cornea and Refractive Surgery, Sankara Eye Hospital, Anand, Gujarat, India
Hitendra Parmar Department of Cataract Surgery, Sankara Eye Hospital, Anand, Gujarat, India
Pushkal Katara Department of Cataract Surgery, Sankara Eye Hospital, Anand, Gujarat, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20233052

Keywords:

Secondary glaucoma, Silicone oil, Iridocorneal apposition, Laser peripheral iridotomy

Abstract

A 53-year-old male presented to our centre complaining of sudden onset of headache and decreased vision in the right eye for 1 month. Patient had history of injury with an iron wire at the work place for which patient under went for right eye scleral tear repair with Pars Plana Vitrectomy. On examination, visual acuity was hand movements in right eye. Anterior segment examination of right eye revealed circumcorneal congestion, 360 degree of iridocorneal apposition, flat anterior chamber with iris bombe and pupillary membrane formation. Laser peripheral iridotomy was performed which led to the egress of silicone oil through the peripheral iridotomy into the anterior chamber, relieving the iridocorneal apposition. At subsequent follow up visit there was further reduction in iridocorneal apposition and iris bombe.

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References

Kleinberg TT, Tzekov RT, Stein L, Ravi N, Kaushal S. Vitreous substitutes: a comprehensive review. Survey Ophthalmol. 2011;56(4):300-23.

Alovisi C, Panico C, de Sanctis U, Eandi CM. Vitreous Substitutes: Old and New Materials in Vitreoretinal Surgery. J Ophthalmol. 2017;3172138.

Živojnović R. Silicone oil in vitreoretinal surgery. Monographs in Ophthalmology. Dordrecht: Martins. 1987.

Bhoot M, Agarwal A, Dubey S, Pegu J, Gandhi M. Silicone oil induced glaucoma. Delhi J Ophthalmol. 2018;29(1):9-13.

Leaver PK, Grey RH, Garner A. Silicone oil injection in the treatment of massive preretinal retraction. II. Late complications in 93 eyes. Br J Ophthalmol. 1979;63(5):361-7.

Riedel KG, Gabel VP, Neubauer L, Kampik A, Lund OE. Intravitreal silicone oil injection: complications and treatment of 415 consecutive patients. Graefe's Archive Clin Exp Ophthalmol. 1990;228:19-23.

Jonas JB, Knorr HL, Rank RM, Budde WM. Intraocular pressure and silicone oil endotamponade. J Glaucoma. 2001;10(2):102-8.

Ni C, Wang WJ, Albert DM, Schepens CL. Intravitreous silicone injection: histopathologic findings in a human eye after 12 years. Arch Ophthalmol. 1983;101(9):1399-401.

Yeo JH, Glaser BM, Michels RG. Silicone oil in the treatment of complicated retinal detachments. Ophthalmology. 1987;94(9):1109-13.

Kumar H, Talwar D, Thulasidas M, Taneja S. A New Mechanism of Silicone Oil-Induced Glaucoma and Its Management. Case Rep Ophthalmol Med. 2022;2343139.

Beekhuis WH, Ando F, Zivojnović R, Mertens DA, Peperkamp E. Basal iridectomy at 6 o'clock in the aphakic eye treated with silicone oil: prevention of keratopathy and secondary glaucoma. Br J Ophthalmol. 1987;71(3):197-200.