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Ophthalmic Images |

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

Kunal K. Dansingani, MA, FRCOphth1,2,3; Jonathan Naysan, MD1,2,4; K. Bailey Freund, MD1,2,4
[+] 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.
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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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Figure.

Images of the patient’s eye. A, Color images of the left fundus. B, Spectral-domain optical coherence tomography (OCT) showing hyperreflective dots within a lamellar macular hole and accompanying en face swept source OCT showing oil bubbles within its boundaries. Arrowheads illustrate the meniscus of the hyperoleon.

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