A man in his early 60s with pathologic myopia had undergone multiple procedures, including vitrectomy and cataract surgery, on the left eye for a rhegmatogenous retinal detachment 2 years previously. He subsequently had received multiple intravitreous ranibizumab injections to the left eye for myopic choroidal neovascularization. Best-corrected visual acuities were 20/40 OD and 20/200 OS.
Multimodal imaging revealed emulsified silicone oil forming a meniscus in the fovea of the left eye (Figure, A). En face imaging with swept source optical coherence tomography demonstrated the confinement of the hyperoleon within a lamellar macular hole (Figure, B).
Dansingani KK, Naysan J, Freund KB. Silicone Oil Confined Within a Lamellar Macular Hole as Demonstrated by En Face Swept Source Optical Coherence Tomography. JAMA Ophthalmol. 2015;133(7):e15112. doi:10.1001/jamaophthalmol.2015.112