歯学ジャーナル
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概要

Intraretinal Silicone Oil Infiltration following Traumatic Macular Hole Repair

Matthew Benage, Richard Hwang, Frank Siringo, Hugo Quiroz-Mercado, Scott CN Oliver, Naresh Mandava, Marc T Mathias and Jeffrey L Olson

Purpose: To present a case study describing incorporation of silicone oil into a traumatic macular hole following surgical correction.
Methods: Case report
Results: A nine-year-old male presented with a traumatic macular hole. After waiting for spontaneous closure, pars plana vitrectomy with standard 1000 centistroke silicone oil tamponade was performed. Postoperatively, spectral-domain optical coherence tomography, demonstrated closure of the macular hole, but with infiltration of silicone oil into the foveal architecture. A second surgical approach with different attempts to remove the retained silicone oil's bubble was successfully performed using a soft-tip cannula. However, the macular hole reopened intraoperatively. Therefore silicone oil was replaced with no infiltration and adequate closure of the macular hole.
Conclusion: Previous reports have demonstrated small droplets of retained silicone oil within the retinal layers, but to our knowledge, this is the first report of a large globule of oil becoming incorporated into a healing macular hole.