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Ophthalmic Images |

Silicone Oil Retention Sutures for Retinal Detachment Repair Following Traumatic Aniridia, Aphakia, and Ruptured Globe Online Only

Rajesh C. Rao, MD1,2; Steven R. Cohen, MD2; Shahzad I. Mian, MD2
[+] Author Affiliations
1Department of Pathology, University of Michigan Medical School, Ann Arbor
2Department of Ophthalmology and Visual Sciences, W. K. Kellogg Eye Center, Ann Arbor, Michigan
JAMA Ophthalmol. 2015;133(9):e151433. doi:10.1001/jamaophthalmol.2015.1433.
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This Ophthalmic Image describes silicone oil retention sutures for retinal detachment repair.

A man in his mid-20s with a history of left traumatic corneal laceration and open-globe repair presented with hyphema, corneal edema, traumatic aphakia, iris loss, vitreous hemorrhage, and funnel retinal detachment with proliferative vitreoretinopathy. He underwent scleral buckling, anterior chamber washout, penetrating keratoplasty with temporary keratoprosthesis, 23-gauge pars plana vitrectomy, membrane peeling, endolaser, and silicone oil (SO) tamponade with retention sutures placed at the iris plane (Video and Figure, A).1 At 1 month following surgery, intraocular pressure was 15 mm Hg, visual acuity was hand motions, and the retina was attached. High-frequency ultrasonographic biomicroscopy revealed fibrin in the anterior chamber as well as SO interfaces with the aqueous fluid and retention sutures (Figure, B). The concave shape of the SO-aqueous interface is due to high surface tension of the SO against the retention sutures. This finding represents successful sequestration of the SO from the anterior chamber.

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A, Silicone oil retention sutures (arrowheads) placed during retinal detachment repair. B, High-frequency ultrasonographic biomicroscopy revealed the sutures (black arrowheads) and the silicone oil–aqueous interface (white arrowheads).

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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Silicone Oil Retention Sutures

Scleral buckling, anterior chamber washout, penetrating keratoplasty with temporary keratoprosthesis, 23-gauge pars plana vitrectomy, membrane peeling, endolaser, and silicone oil tamponade with retention sutures placed at the iris plane.

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