The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Heavy silicone

Photo by Professor Chua Chung Nen

This 24 year-old underwent an inferior retinal detachment surgery in which heavy silicone oil was used to tamponade the inferior retina. The retinal detachment resulted from an intraocular foreign body that entered the eye through the cornea. He also had traumatic cataract extraction and implant simulatneously.

The anterior chamber showed droplets of heavy silicone oil resembling hypopyon. This is in contrast to normal silicone oil droplets that usually appears superiorly as they are lighter than aqueous. Compared with heavy liquid, heavy silicone is less toxic to the retina and can be left in the eye for a much longer time.

 

Pseudo-hypopyon secondary to anterior movement of the heavy silicone oil.

The cornea shows perforating scar.

 

Close-up view of droplets of heavy silicone oil.

Next Anterior Segment Case