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Research Letters |

Delayed Presentation of Emulsified Subretinal Silicone Oil Appearing as an Inverse Macular Pseudohypopyon

Emily Gosse, MBChB; Jonathan Lochhead, MBBS
JAMA Ophthalmol. 2013;131(5):684-685. doi:10.1001/jamaophthalmol.2013.2865.
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The use of silicone oil is well established in complex retinal detachment surgery,1 and it is still the most frequently used internal tamponade in the management of giant retinal tear.2 The common complications associated with silicone oil have been extensively described. Subretinal silicone oil is an infrequent but serious complication.3 The delayed presentation of subretinal silicone oil is uncommon and has previously been described in cases of retinal detachment associated with optic disc pit.4 We describe an unusual late complication of subretinal silicone oil presenting as an inverse macular pseudohypopyon in a patient successfully treated for giant retinal tear 25 years previously.

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Figure 1. Sequence of optical coherence tomographic images showing submacular thickening presumed to be due to fibrosis (A), subretinal fluid associated with macular hole (B), macular hole with resolved subretinal fluid (C), and subretinal emulsified silicone oil droplets (D).

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Figure 2. Color fundus photograph of the left eye showing a macular inverse pseudohypopyon.

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