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Ophthalmic Images
July 9, 2015

Silicone Oil Confined Within a Lamellar Macular Hole as Demonstrated by En Face Swept Source Optical Coherence Tomography

Author Affiliations
  • 1Vitreous Retina Macula Consultants of New York, New York
  • 2The LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear and Throat Hospital, New York, New York
  • 3Moorfields Eye Hospital, London, United Kingdom
  • 4Department of Ophthalmology, New York University School of Medicine, New York
JAMA Ophthalmol. 2015;133(7):e15112. doi:10.1001/jamaophthalmol.2015.112

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).

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