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February 1986

Silicone Oil Retinopathy

Arch Ophthalmol. 1986;104(2):178-179. doi:10.1001/archopht.1986.01050140030011

To the Editor.  —The intraocular complications of vitreous injection of silicone oil are well known and appear to be secondary to emulsification of the silicone oil bubble, which can result in glaucoma,1 cataract,2 and retinopathy.3-5 The toxic effect of silicone oil on the retina is well established in the literature through descriptive clinical and documented histologic studies.3,4 However, to our knowledge, photographic and fluorescein angiographic findings of silicone oil retinopathy have not yet been described and documented, particularly in an attached retina.We report herein the case of a 27-year-old man who underwent closed vitrectomy and scleral buckling with vitreous injection of silicone oil for a traumatic retinal detachment and vitreous hemorrhage. When we examined the patient six months later, his visual acuity was 20/200 and his intraocular pressure was 31 mm Hg. Slit-lamp examination revealed small silicone oil droplets in the anterior chamber superiorly with

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