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Macular hyperoleon with glaucomatous optic atrophy

Eye (2023)Cite this article

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Silicon oil (SO) is a commonly used internal tamponade in retinal detachment (RD) surgery. Subretinal SO is a rare but serious complication of the same [1]. SO can migrate into any open retinal break especially if surrounding area is detached, causing loss of internal tamponade and ultimately, failure of RD repair [2]. The emulsified SO would have passed through the macular hole into the sub-retinal space and accumulated giving the appearance of an inverse pseudohypopyon or macular hyperoleon. Imaging studies have demonstrated that SO can pass through a macular hole in certain postural conditions also [3].

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References

  1. Riedel KG, Gabel VP, Neubauer L, Kampik A, Lund OE. Intravitreal silicone oil injection: complications and treatment of 415 consecutive patients. Graefes Arch Clin Exp Ophthalmol. 1990;228:19–23.

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  2. Gosse E, Lochhead J. Delayed presentation of emulsified subretinal silicone oil appearing as an inverse macular pseudohypopyon. JAMA Ophthalmol. 2013;131:684–685. https://doi.org/10.1001/jamaophthalmol.2013.2865.

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Author notes

  1. Shagufa Jamal

    Present address: Glaucoma Services, Aravind Eye Hospital, Thavalakuppam, Cuddalore Main Road, Pondicherry, 605007, Pondicherry, India

Authors and Affiliations

  1. Glaucoma Services, Aravind Eye Hospital, Pondicherry, Thavalakuppam, Cuddalore Main Road, 605007, India

    Shagufa Jamal & Swati Upadhyaya

  2. Glaucoma Services, Aravind Eye Hospital, Thavalakuppam, Cuddalore Main Road, Pondicherry, 605007, Pondicherry, India

    R. Venkatesh MD & Swati Upadhyaya

Authors
  1. Shagufa Jamal
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  2. R. Venkatesh MD
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  3. Swati Upadhyaya
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Contributions

SJ: Editing of the image and preparation of manuscript. SU: Editing of the image, corrections and approval of manuscript. RV: Approval of the final manuscript.

Corresponding author

Correspondence to Swati Upadhyaya.

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The authors declare no competing interests.

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Jamal, S., Venkatesh, R. & Upadhyaya, S. Macular hyperoleon with glaucomatous optic atrophy. Eye (2023). https://doi.org/10.1038/s41433-023-02728-0

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  • DOI: https://doi.org/10.1038/s41433-023-02728-0

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