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. |
|
|