Jessica L Cao1,2, Andrew W Browne3,4, Thomas Clifford2, Sumit Sharma1, Vivek Patel4. 1. Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH, USA. 2. Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA. 3. Gavin Herbert Eye Institute, University of California Irvine, Irvine, CA, USA. 4. USC Roski Eye Institute, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
Abstract
PURPOSE: Silicone oil (SO) is often used as an intraocular tamponade in repairs of retinal detachments. It may be associated with complications such as cataract, glaucoma, keratopathy, subretinal migration of oil, fibrous epiretinal and sub retinal proliferations, and oil emulsification. The purpose of this report is to describe a rare phenomenon of intraocular silicone oil migration into the cerebral ventricles, which may later be mistaken for intraventricular hemorrhages on neuroimaging. METHODS: Case report with literature review. RESULTS: A patient with a history of retinal detachment repair with intraocular SO presented with headaches. Neuroimaging revealed SO migration to the cerebral ventricles. The patient was treated conservatively with symptom management and headaches resolved. CONCLUSIONS: We present a case of intraocular SO migration to the cerebral ventricles and review the current literature. We also propose two mechanisms for this phenomenon.
PURPOSE: Silicone oil (SO) is often used as an intraocular tamponade in repairs of retinal detachments. It may be associated with complications such as cataract, glaucoma, keratopathy, subretinal migration of oil, fibrous epiretinal and sub retinal proliferations, and oil emulsification. The purpose of this report is to describe a rare phenomenon of intraocular silicone oil migration into the cerebral ventricles, which may later be mistaken for intraventricular hemorrhages on neuroimaging. METHODS: Case report with literature review. RESULTS: A patient with a history of retinal detachment repair with intraocular SO presented with headaches. Neuroimaging revealed SO migration to the cerebral ventricles. The patient was treated conservatively with symptom management and headaches resolved. CONCLUSIONS: We present a case of intraocular SO migration to the cerebral ventricles and review the current literature. We also propose two mechanisms for this phenomenon.
Entities:
Keywords:
complications of vitreoretinal surgery; retinal detachment; silicone oil
Authors: Matthew B Potts; Alex C Wu; David J Rusinak; Kartik Kesavabhotla; Babak S Jahromi Journal: World Neurosurg Date: 2018-04-17 Impact factor: 2.104
Authors: Aristotelis S Filippidis; Taylor J Conroy; Georgios A Maragkos; James W Holsapple; Keith G Davies Journal: World Neurosurg Date: 2017-04-04 Impact factor: 2.104