Subconjunctival and Orbital Silicone Oil Granuloma (Siliconoma) Complicating Intravitreal Silicone Oil Tamponade

A 30-year-old male, who underwent previous pars plana vitrectomy and silicone oil tamponade due to endogenous endophthalmitis originated from Klebsiella liver abscess, was referred for evisceration. At 2 months after vitrectomy with silicon oil tamponade, conjunctival chemosis and ocular pain were a...

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Main Authors: Jung Hye Lee, Yoon-Duck Kim, Kyung In Woo, Mingui Kong
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2014/686973
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author Jung Hye Lee
Yoon-Duck Kim
Kyung In Woo
Mingui Kong
author_facet Jung Hye Lee
Yoon-Duck Kim
Kyung In Woo
Mingui Kong
author_sort Jung Hye Lee
collection DOAJ
description A 30-year-old male, who underwent previous pars plana vitrectomy and silicone oil tamponade due to endogenous endophthalmitis originated from Klebsiella liver abscess, was referred for evisceration. At 2 months after vitrectomy with silicon oil tamponade, conjunctival chemosis and ocular pain were aggravated. Diffuse eyelid swelling and large subconjunctival mass with lipid droplets were noted. On MRI examination, subconjunctival mass and intra- and extraconal orbital mass around superior rectus muscle were observed. Excision of subconjunctival and orbital mass was performed. Histopathologic examination showed multiple silicone oil vacuoles surrounded by foreign body giant cells and fibrosis, which confirmed silicone oil granuloma. In a patient with suspicious melting sclera in diseases such as endophthalmitis, large silicone oil granuloma may be complicated in a rapid fashion after intravitreal silicone oil tamponade due to silicone oil leakage.
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spelling doaj-art-5667939daf33474dbd6edca4bda22fb92025-08-20T03:20:20ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302014-01-01201410.1155/2014/686973686973Subconjunctival and Orbital Silicone Oil Granuloma (Siliconoma) Complicating Intravitreal Silicone Oil TamponadeJung Hye Lee0Yoon-Duck Kim1Kyung In Woo2Mingui Kong3Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, College of Medicine, Konyang University, Seoul 150-034, Republic of KoreaDepartment of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Republic of KoreaDepartment of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Republic of KoreaDepartment of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Republic of KoreaA 30-year-old male, who underwent previous pars plana vitrectomy and silicone oil tamponade due to endogenous endophthalmitis originated from Klebsiella liver abscess, was referred for evisceration. At 2 months after vitrectomy with silicon oil tamponade, conjunctival chemosis and ocular pain were aggravated. Diffuse eyelid swelling and large subconjunctival mass with lipid droplets were noted. On MRI examination, subconjunctival mass and intra- and extraconal orbital mass around superior rectus muscle were observed. Excision of subconjunctival and orbital mass was performed. Histopathologic examination showed multiple silicone oil vacuoles surrounded by foreign body giant cells and fibrosis, which confirmed silicone oil granuloma. In a patient with suspicious melting sclera in diseases such as endophthalmitis, large silicone oil granuloma may be complicated in a rapid fashion after intravitreal silicone oil tamponade due to silicone oil leakage.http://dx.doi.org/10.1155/2014/686973
spellingShingle Jung Hye Lee
Yoon-Duck Kim
Kyung In Woo
Mingui Kong
Subconjunctival and Orbital Silicone Oil Granuloma (Siliconoma) Complicating Intravitreal Silicone Oil Tamponade
Case Reports in Ophthalmological Medicine
title Subconjunctival and Orbital Silicone Oil Granuloma (Siliconoma) Complicating Intravitreal Silicone Oil Tamponade
title_full Subconjunctival and Orbital Silicone Oil Granuloma (Siliconoma) Complicating Intravitreal Silicone Oil Tamponade
title_fullStr Subconjunctival and Orbital Silicone Oil Granuloma (Siliconoma) Complicating Intravitreal Silicone Oil Tamponade
title_full_unstemmed Subconjunctival and Orbital Silicone Oil Granuloma (Siliconoma) Complicating Intravitreal Silicone Oil Tamponade
title_short Subconjunctival and Orbital Silicone Oil Granuloma (Siliconoma) Complicating Intravitreal Silicone Oil Tamponade
title_sort subconjunctival and orbital silicone oil granuloma siliconoma complicating intravitreal silicone oil tamponade
url http://dx.doi.org/10.1155/2014/686973
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