In e na ional Jou nal o Clinical Science and Medical Resea ch
ISSN(p in ): 2770-5803, ISSN(online): 2770-582X
Volume 05 Issue 11 No embe 2025
DOI: h ps://doi.o g/10.55677/IJCSMR/V5I11-03/2025, Impac Fac o : 8.005
Page No : 288-290
288 A ailable a : h ps://jou nalo medical.o g/
An e io Chambe Silicone Oil Mig a ion A e Re inal De achmen
Su ge y: A Case Repo
H. Boui1, Z. Filali1, M. A. Hanine2
1Depa men o Oph halmology, Hassan II Mili a y Hospi al, Laayoune, Mo occo.
2Depa men o O o hinola yngology, Hassan II Mili a y Hospi al, Laayoune, Mo occo.
ABSTRACT Published Online: No embe 06, 2025
Silicone oil is a widely used in e nal amponade agen in he managemen o complex
e inal de achmen s. Al hough i s use is gene ally empo a y, ce ain clinical si ua ions
necessi a e p olonged e en ion. We epo a case o an e io chambe silicone oil
mig a ion occu ing se e al yea s a e e inal de achmen su ge y, illus a ing he po en ial
long- e m complica ions o his ma e ial.
KEYWORDS:
Silicone oil, Re inal de achmen ,
An e io segmen complica ion,
Vi eo e inal su ge y, In e nal
amponade.
INTRODUCTION
Since i s in oduc ion by Cibis in 1962, silicone oil has
become an essen ial componen o su gical managemen o
complex e inal de achmen s [1]. I se es as an in e nal
amponade o acili a e e ec i e e inopexy using lase
pho ocoagula ion. Howe e , i s long- e m ole ance emains
con o e sial. Complica ions such as an e io mig a ion,
ke a opa hy, ocula hype ension, and ca a ac o ma ion
ha e been epo ed [2–4]. We p esen a case o an e io
chambe silicone oil mig a ion se e al yea s ollowing
e inal de achmen epai .
CASE REPORT
A 43-yea -old male pa ien unde wen e inal de achmen
su ge y in 1995 ollowing a oad a ic acciden a ec ing
he igh eye. He p esen ed o ou depa men wi h edness,
ocula pain, ea ing, and pu ulen discha ge in he same eye.
Clinical examina ion e ealed: posi i e ligh pe cep ion
(PL+), in aocula p essu e o 18 mmHg (ai onome e ), a
ed eye wi h a pe ilimbal injec ion, conjunc i al hype emia,
and c ys alline deposi s in he an e io chambe . Fluo escein
s aining was nega i e. Ocula ul asonog aphy showed a
illed i eous ca i y wi hou pos e io abno mali ies. The
ellow eye was un ema kable.
A bac e ial conjunc i i is was diagnosed and ea ed wi h
opical an ibio ics and an i-in lamma o y d ops, wi h a
a o able ou come. The pa ien e used su gical ex ac ion o
Co esponding Au ho : H. Boui
*Ci e his A icle: H. Boui, Z. Filali, M. A. Hanine (2025).
An e io Chambe Silicone Oil Mig a ion A e Re inal
De achmen Su ge y: A Case Repo . In e na ional Jou nal o
Clinical Science and Medical Resea ch, 5(11), 288-290
he silicone oil, s a ing he was sa is ied wi h ision in he
ellow eye.
Figu e 2. Fluo escein es o he igh eye.
Figu e 1. Sli -lamp image showing silicone oil
mic obubbles in he an e io chambe .
H. Boui e al, An e io Chambe Silicone Oil Mig a ion A e Re inal De achmen Su ge y: A Case Repo
289 A ailable a : h ps://jou nalo medical.o g/
Figu e 3. Fundus image o he le eye.
Figu e 4. Ocula ul asound o he le eye.
Figu e 5. Addi ional ul asound sec ion showing silicone
oil p esence.
DISCUSSION
Silicone oil emains a aluable he apeu ic ool in he
managemen o complex e inal de achmen s, including
cases wi h gian e inal ea s, p oli e a i e i eo e inopa hy
(PVR), and se e e auma [5]. Ideally, he silicone oil
should be emo ed wi hin 3 o 6 mon hs o minimize
an e io segmen complica ions [6].
The mos equen complica ions o p olonged silicone oil
e en ion include ele a ed in aocula p essu e due o
abecula obs uc ion, bullous ke a opa hy, accele a ed
ca a ac o ma ion, and an e io mig a ion o silicone oil
[7,8]. Mig a ion in o he an e io chambe usually occu s
ollowing dis up ion o he i idocapsula ba ie o p e ious
capsula up u e.
Remo al o silicone oil is ecommended once he e ina is
s abilized. Howe e , pe manen amponade may be jus i ied
in ce ain cases, especially in monocula pa ien s, ecu en
PVR, o ex emely agile e inas [9]. In hese si ua ions,
close long- e m ollow-up is essen ial, including in aocula
p essu e moni o ing, co neal cla i y assessmen , and
ul asonog aphic e alua ion.
Recen s udies con i m ha p olonged silicone oil e en ion
is associa ed wi h an e io segmen complica ions. Kuma an
e al. (2023) epo ed an an e io mig a ion a e o 5.2%
a e i e yea s [10]. Yu e al. (2022) demons a ed he
in luence o silicone oil iscosi y and capsula s a us on
mig a ion occu ence [11]. Ramezani e al. (2024)
emphasized he need o egula co neal moni o ing and
echog aphic ollow-up [12].
CONCLUSION
In speci ic clinical si ua ions, long- e m e en ion o silicone
oil may be necessa y o p e en ecu en e inal
de achmen , pa icula ly in monocula pa ien s. Howe e ,
his he apeu ic decision should emain excep ional and
mus be accompanied by egula oph halmic ollow-up o
de ec an e io segmen complica ions ea ly. Whene e
easible, silicone oil emo al a e e inal s abiliza ion
emains he ecommended p ac ice.
Au ho Con ibu ions
D . BOUI Ha im: concep ion, da a analysis, manusc ip
d a ing.
D . FILALI Zineb: da a collec ion, c i ical e ision.
D . Hanine Mohamed Amine: da a collec ion, c i ical
e ision.
All au ho s app o ed he inal e sion o he manusc ip .
Con lic o In e es S a emen
The au ho s decla e no con lic o in e es ela ed o his
s udy.
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