Shu BL, Wu HY, Hu YX, Rao J, Wei B, Huang QY, Wu XR. Silicone oil migrating into the conjunctival space and orbit after surgery for an eye-penetrating injury: A case report. World J Clin Cases 2024; 12(19): 3950-3955 [PMID: 38994291 DOI: 10.12998/wjcc.v12.i19.3950]
Corresponding Author of This Article
Xiao-Rong Wu, MD, Chief Physician, Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Donghu District, Nanchang 330006, Jiangxi Province, China. wxr98021@126.com
Research Domain of This Article
Ophthalmology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 6, 2024; 12(19): 3950-3955 Published online Jul 6, 2024. doi: 10.12998/wjcc.v12.i19.3950
Silicone oil migrating into the conjunctival space and orbit after surgery for an eye-penetrating injury: A case report
Ben-Liang Shu, Hong-Yun Wu, Yu-Xiang Hu, Jie Rao, Bin Wei, Qin-Yi Huang, Xiao-Rong Wu
Ben-Liang Shu, Yu-Xiang Hu, Jie Rao, Bin Wei, Qin-Yi Huang, Xiao-Rong Wu, Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China
Hong-Yun Wu, Department of Ophthalmology, Ganzhou People's Hospital, Ganzhou 341000, Jiangxi Province, China
Co-first authors: Ben-Liang Shu and Hong-Yun Wu.
Author contributions: Shu BL, Wu HY, and Hu YX designed research; Shu BL, Wu HY, Rao J collected information; Shu BL, Wu HY, Wei B, Huang QY, and Wu XR wrote and revised manuscripts; all authors have read and approve the final manuscript. Shu BL and Wu HY contributed equally to this work as co-first authors.
Supported byNational Natural Science Foundation of China, No. 82160207; Technology Plan of Jiangxi Provincial Health and Health Commission, No. 202130156; Young Scholar Project of the First Affiliated Hospital of Nanchang University, No. YFYPY202219; and Science and Key Projects of Jiangxi Youth Science Fund, No. 20202ACBL216008.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Rong Wu, MD, Chief Physician, Department of Ophthalmology, The First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Donghu District, Nanchang 330006, Jiangxi Province, China. wxr98021@126.com
Received: February 23, 2024 Revised: April 23, 2024 Accepted: May 8, 2024 Published online: July 6, 2024 Processing time: 126 Days and 19.6 Hours
Abstract
BACKGROUND
We report a case of eye-penetrating injury in which a massive silicone oil migration into the patient’s subconjunctival space and orbit occurred after vitrectomy.
CASE SUMMARY
A 30-year-old male patient sought medical attention at Ganzhou People’s Hospital after experiencing pain and vision loss in his left eye due to a nail wound on December 9, 2023. Diagnosis of penetrating injury caused by magnetic foreign body retention in the left eye and hospitalization for treatment. On December 9, 2023, pars plana vitrectomy was performed on the left eye for intraocular foreign body removal, abnormal crystal extraction, retinal photocoagulation. Owing to the discovery of retinal detachment at the posterior pole during surgery, silicone oil was injected to fill the vitreous body, following which upper conjunctival bubble-like swelling was observed. Postoperative orbital computed tomography (CT) review indicated migration of silicone oil to the subconjunctival space and orbit through a self-permeable outlet. On December 18, 2023, the patient sought treatment at the First Affiliated Hospital of Nanchang University, China. The patient presented with a pronounced foreign body sensation following left eye surgery. On December 20, 2023, the foreign body was removed from the left eye frame and an intraocular examination was conducted. The posterior scleral tear had closed, leading to termination of the surgical procedure following supplementary laser treatment around the tear. The patient reported a significant reduction in ocular surface symptoms just one day after surgery. Furthermore, a notable decrease in the migration of silicone oil was observed in orbital CT scans.
CONCLUSION
The timing of silicone oil injection for an eye-penetrating injury should be carefully evaluated to avoid the possibility of silicone oil migration.
Core Tip: We report a case of ocular penetrating injury and significant migration of silicone oil into the subconjunctival space and orbit in a patient after vitrectomy. Subsequently, the foreign body was removed frame through surgical treatment. Ultimately, we believe the timing of silicone oil injection for an eye-penetrating injury should be carefully evaluated to avoid the possibility of silicone oil migration.
