Silicone oil migrating into the conjunctival space and orbit after surgery for an eye-penetrating injury:A case report  

作　　者：Ben-Liang Shu Hong-Yun Wu Yu-Xiang Hu Jie Rao Bin Wei Qin-Yi Huang Xiao-Rong Wu 

机构地区：[1]Department of Ophthalmology,The First Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi Province,China [2]Department of Ophthalmology,Ganzhou People's Hospital,Ganzhou 341000,Jiangxi Province,China

出　　处：《World Journal of Clinical Cases》2024年第19期3950-3955,共6页世界临床病例杂志

基　　金：National Natural Science Foundation of China,No.82160207;Technology Plan of Jiangxi Provincial Health and Health Commission,No.202130156;Young Scholar Project of the First Affiliated Hospital of Nanchang University,No.YFYPY202219;Science and Key Projects of Jiangxi Youth Science Fund,No.20202ACBL216008.

摘　　要：BACKGROUND We report a case of eye-penetrating injury in which a massive silicone oil migration into the patient’s subconjunctival space and orbit occurred after vitrectomy.CASE SUMMARY A 30-year-old male patient sought medical attention at Ganzhou People’s Hospital after experiencing pain and vision loss in his left eye due to a nail wound on December 9,2023.Diagnosis of penetrating injury caused by magnetic foreign body retention in the left eye and hospitalization for treatment.On December 9,2023,pars plana vitrectomy was performed on the left eye for intraocular foreign body removal,abnormal crystal extraction,retinal photocoagulation.Owing to the discovery of retinal detachment at the posterior pole during surgery,silicone oil was injected to fill the vitreous body,following which upper conjunctival bubble-like swelling was observed.Postoperative orbital computed tomography(CT)review indicated migration of silicone oil to the subconjunctival space and orbit through a self-permeable outlet.On December 18,2023,the patient sought treatment at the First Affiliated Hospital of Nanchang University,China.The patient presented with a pronounced foreign body sensation following left eye surgery.On December 20,2023,the foreign body was removed from the left eye frame and an intraocular examination was conducted.The posterior scleral tear had closed,leading to termination of the surgical procedure following supplementary laser treatment around the tear.The patient reported a significant reduction in ocular surface symptoms just one day after surgery.Furthermore,a notable decrease in the migration of silicone oil was observed in orbital CT scans.CONCLUSION The timing of silicone oil injection for an eye-penetrating injury should be carefully evaluated to avoid the possibility of silicone oil migration.

关 键 词：Silicone oils MIGRATION VITRECTOMY Eye injuries PENETRATING Case report 

分 类 号：R651[医药卫生—外科学]