Removal of silicone oil droplets adhering to the posterior surface of an intraocular lens (IOL)

Abstract

PurposeWe report a rare case of silicone oil droplets adhering to the posterior surface of an intraocular lens (IOL) after removal of silicone oil for a patient with retinal reattachment, who had a history of pseudophakic rhegmatogenous retinal detachment.Case reportA 45-year-old male with a history of cataract surgeries of both eyes developed pseudophakic retinal detachment in his left eye. He received surgeries of scleral buckle and standard 3-port pars plana vitrectomy with silicon oil tamponade. With retinal attachment for 7 months, he underwent removal of silicone oil in the left eye. However, a big silicone oil droplet was found on the posterior surface of the IOL with complaints of distorted micropsia and poor vision, a month later. Pars plana vitrectomy using a 20-gauge vitreous cutter, which was supposed to have a higher cleaning capability compared with a smaller size device, was performed to aspirate the main part of the big oil droplet. The residual dispersed smaller droplets at the center of the visual axis were swept peripherally using a 27-gauge bending tip cannula. Fortunately, the patient regained his vision of 20/20 without distortion and micropsia in his left eye.ConclusionThis was a rare case where silicone oil droplets were found adhering to the posterior surface of an IOL after removing silicone oil a month later. We used a 20-gauge vitrectomy system to remove large oil droplets and swept smaller ones off the visual axis to improve the vision and visual quality.

Silicone oil obscuring vision by migrating behind an intraocular lens in an intact capsular bag after previous retinal detachment surgery

“…However, this patient had previously undergone YAG capsulotomy. 5 Our case illustrates that silicone oil can become lodged between the IOL and an intact posterior capsule in pseudophakic patients who have previously undergone retinal detachment surgery, with migration of the oil presumably through weakness in the zonular fibers, through the capsulorhexis, and behind the IOL.…”

Persistent Intraocular Residue with the Use of Dexycu® in Cataract Extraction: A Case Series

“…Adhesion of foreign material to artificial intraocular lenses is a well-known phenomenon, with calcifications and silicone oil being identified as common culprits in various case studies [6][7][8][9][10][11][12][13]]. An experimental study by Kageyama and Yaguchi showed that silicone oil was most likely to interact with silicone IOLs and least likely to interact with hydrophobic acrylic lenses [9].…”

A rare intraocular lens surface foreign body during phacoemulsification surgery

“…[ 10 ] In another case, a large silicone oil droplet adhesion on the posterior surface of IOL was removed by using a vitreous cutter. [ 11 ] Removal or replacement of the IOL was often adopted in cases where postoperative visual acuity of patients was seriously affected or where complications were caused by IOL decentration, tilt, rotation, or luxation. [ 12 ] In this case, the SS-OCT results showed a gap between the foreign body and the posterior surface of the intraocular lens, suggesting that the intraocular lens itself was normal and providing space for us to grasp the foreign body.…”