|Year : 2020 | Volume
| Issue : 4 | Page : 320-321
Fish eggs in the eye
Vinit J Shah, Syed Mohideen Abdul Khadar, Syed Saifuddin Adeel, Shobita Nair
Department of Retina and Vitreous, Aravind Eye Hospital, Tirunelveli, Tamil Nadu, India
|Date of Submission||21-Jul-2020|
|Date of Acceptance||07-Aug-2020|
|Date of Web Publication||16-Dec-2020|
Dr. Vinit J Shah
Department of Retina and Vitreous, Aravind Eye Hospital, Tirunelveli, Tamil Nadu
Source of Support: None, Conflict of Interest: None
An interesting postoperative complication was noted after a routine retinal detachment surgery with scleral buckling with pars plana vitrectomy and silicone oil injection. Anterior segment examination on the 1st postoperative day showed multiple small nonemulsified silicone oil globules, giving a fish egg appearance. Such an appearance is not seen routinely in the immediate postoperative period.
Keywords: Anterior chamber, fish egg appearance, nonemulsified, silicone oil
|How to cite this article:|
Shah VJ, Khadar SM, Adeel SS, Nair S. Fish eggs in the eye. TNOA J Ophthalmic Sci Res 2020;58:320-1
| Case Summary|| |
A 65-year-old male patient presented to us with a sudden loss of vision in the left eye with best-corrected visual acuity of finger counting close to the face. Both eyes were pseudophakic. Posterior segment of the left eye showed total rhegmatogenous retinal detachment. The patient underwent left eye scleral buckling with pars plana vitrectomy and silicon oil injection. Surgery was uneventful. Slit-lamp examination on the 1st postoperative day showed multiple fish egg appearance of silicon oil in the anterior chamber [Figure 1].
|Figure 1: Slit lamp photo of anterior segment showing fish egg appearance of multiple non emulsified silicone oil globules in the anterior chamber|
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Fundus showed attached retina under silicone oil [Figure 2].
| Discussion|| |
Migration of silicone oil into the anterior chamber commonly occurs as a large globule or as multiple fine bubbles when it is emulsified. It can cause raised intraocular pressure, pupillary block, or causing anterior displacement of iris diaphragm, leading to angle closure glaucoma. Long-term complication is corneal endothelial toxicity. Avoiding overfilling of the silicone oil and careful base dissection to avoid damage to the zonules can prevent this complication. Our patient had normal intraocular pressure, so the oil was left in situ and removed during silicone oil removal after 3 months.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Patel AV, Papakostas TD, Eliott D. Silicone oil emulsification in retina surgery. Retina Today 2015:29-32.
Ichhpujani P, Jindal A, Jay Katz L. Silicone oil induced glaucoma: A review.
Graefes Arch Clin Exp Ophthalmol 2009;247:1585-93.
Foulks GN, Hatchell DL, Proia AD, Klintworth GK. Histopathology of silicone oil keratopathy in humans. Cornea 1991;10:29-37.
[Figure 1], [Figure 2]