DOUBLE PSEUDOHYPOPYON FROM EMULSIFIED HEAVY SILICONE OIL

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Abstract

Purpose:

To report a patient with double pseudohypopyon from emulsification of heavy silicone oil.

Methods:

A 65-year-old woman with rhegmatogenous retinal detachment and a large inferior break underwent pars plana vitrectomy and heavy silicone oil (Oxane HD; Bausch and Lomb, Toulouse, France) tamponade. Eighteen months later, she returned for follow-up examination.

Results:

Slit-lamp examination revealed accumulation of emulsified silicone oil in both the inferior and superior portions of the anterior chamber leading to a “double pseudohypopyon” appearance.

Conclusion:

This case highlights the possibility of decomposition of the Oxane HD silicone oil with time creating an inverted pseudohypopyon from emulsification of light silicone oil in addition to a pseudohypopyon from heavy oil emulsification.

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