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Mechanical Blepharoptosis and Eyelid Swelling Caused by Silicone Oil

Identifieur interne : 003669 ( Pmc/Checkpoint ); précédent : 003668; suivant : 003670

Mechanical Blepharoptosis and Eyelid Swelling Caused by Silicone Oil

Auteurs : Thabit A. Mustafa ; Khalid M. Al-Zuoby ; Ali M. Alawneh

Source :

RBID : PMC:3972636

Abstract

The purpose of this article is to report a case of upper eyelid mechanical ptosis caused by silicone oil migration in a Jordanian patient after pars plana vitrectomy and intraocular silicone oil injection. A 20-year-old male patient was referred to the oculoplastic clinic for the management of a left upper eyelid swelling and complete ptosis that developed 12 years after pars plana vitrectomy and silicone oil placement for retinal detachment secondary to perforating eye injury. Eye examination showed upper eyelid swelling and a complete ptosis induced by the weight of inflammatory tissue and silicone oil, as proved by histopathologic examination. We presumed that silicone oil had leaked through the pars plana vitrectomy ports or through a subtle traumatic perforation of the posterior segment, which might have been aggravated by increased intra-ocular pressure postoperatively. In conclusion, mechanical ptosis caused by silicone oil migration after retinal detachment surgery is rare and this is one of the few reports in the literature.


Url:
DOI: 10.3921/joptom.2009.27
PubMed: NONE
PubMed Central: 3972636


Affiliations:


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PMC:3972636

Le document en format XML

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<title xml:lang="en">Mechanical Blepharoptosis and Eyelid Swelling Caused by Silicone Oil</title>
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<name sortKey="Mustafa, Thabit A" sort="Mustafa, Thabit A" uniqKey="Mustafa T" first="Thabit A." last="Mustafa">Thabit A. Mustafa</name>
</author>
<author>
<name sortKey="Al Zuoby, Khalid M" sort="Al Zuoby, Khalid M" uniqKey="Al Zuoby K" first="Khalid M." last="Al-Zuoby">Khalid M. Al-Zuoby</name>
</author>
<author>
<name sortKey="Alawneh, Ali M" sort="Alawneh, Ali M" uniqKey="Alawneh A" first="Ali M." last="Alawneh">Ali M. Alawneh</name>
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<title xml:lang="en" level="a" type="main">Mechanical Blepharoptosis and Eyelid Swelling Caused by Silicone Oil</title>
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<name sortKey="Mustafa, Thabit A" sort="Mustafa, Thabit A" uniqKey="Mustafa T" first="Thabit A." last="Mustafa">Thabit A. Mustafa</name>
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<author>
<name sortKey="Al Zuoby, Khalid M" sort="Al Zuoby, Khalid M" uniqKey="Al Zuoby K" first="Khalid M." last="Al-Zuoby">Khalid M. Al-Zuoby</name>
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<name sortKey="Alawneh, Ali M" sort="Alawneh, Ali M" uniqKey="Alawneh A" first="Ali M." last="Alawneh">Ali M. Alawneh</name>
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<series>
<title level="j">Journal of Optometry</title>
<idno type="ISSN">1888-4296</idno>
<idno type="eISSN">1989-1342</idno>
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<front>
<div type="abstract" xml:lang="en">
<p>The purpose of this article is to report a case of upper eyelid mechanical ptosis caused by silicone oil migration in a Jordanian patient after pars plana vitrectomy and intraocular silicone oil injection. A 20-year-old male patient was referred to the oculoplastic clinic for the management of a left upper eyelid swelling and complete ptosis that developed 12 years after pars plana vitrectomy and silicone oil placement for retinal detachment secondary to perforating eye injury. Eye examination showed upper eyelid swelling and a complete ptosis induced by the weight of inflammatory tissue and silicone oil, as proved by histopathologic examination. We presumed that silicone oil had leaked through the pars plana vitrectomy ports or through a subtle traumatic perforation of the posterior segment, which might have been aggravated by increased intra-ocular pressure postoperatively. In conclusion, mechanical ptosis caused by silicone oil migration after retinal detachment surgery is rare and this is one of the few reports in the literature.</p>
</div>
</front>
</TEI>
<pmc article-type="brief-report">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Optom</journal-id>
<journal-title-group>
<journal-title>Journal of Optometry</journal-title>
</journal-title-group>
<issn pub-type="ppub">1888-4296</issn>
<issn pub-type="epub">1989-1342</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmc">3972636</article-id>
<article-id pub-id-type="publisher-id">S1888-4296(09)70020-2</article-id>
<article-id pub-id-type="doi">10.3921/joptom.2009.27</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Mechanical Blepharoptosis and Eyelid Swelling Caused by Silicone Oil</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Mustafa</surname>
<given-names>Thabit A.</given-names>
</name>
<email>thabitodat@hotmail.com</email>
<email>thabitodat@doctors.net.uk</email>
<xref rid="cor1" ref-type="corresp"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Al-Zuoby</surname>
<given-names>Khalid M.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Alawneh</surname>
<given-names>Ali M.</given-names>
</name>
</contrib>
</contrib-group>
<aff>Royal Medical Services of Jordan, King Hussein Medical Centre</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Corresponding author: PO Box: 2740. Irbid, 21110. Jordan.
<email>thabitodat@hotmail.com</email>
<email>thabitodat@doctors.net.uk</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>4</day>
<month>11</month>
<year>2010</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub">
<day>4</day>
<month>11</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="ppub">
<year>2009</year>
</pub-date>
<volume>2</volume>
<issue>1</issue>
<fpage>27</fpage>
<lpage>28</lpage>
<history>
<date date-type="received">
<day>26</day>
<month>10</month>
<year>2008</year>
</date>
<date date-type="rev-recd">
<day>8</day>
<month>11</month>
<year>2008</year>
</date>
<date date-type="accepted">
<day>17</day>
<month>11</month>
<year>2008</year>
</date>
</history>
<permissions>
<copyright-statement>© 2009 Spanish Council of Optometry</copyright-statement>
<copyright-year>2009</copyright-year>
</permissions>
<abstract>
<p>The purpose of this article is to report a case of upper eyelid mechanical ptosis caused by silicone oil migration in a Jordanian patient after pars plana vitrectomy and intraocular silicone oil injection. A 20-year-old male patient was referred to the oculoplastic clinic for the management of a left upper eyelid swelling and complete ptosis that developed 12 years after pars plana vitrectomy and silicone oil placement for retinal detachment secondary to perforating eye injury. Eye examination showed upper eyelid swelling and a complete ptosis induced by the weight of inflammatory tissue and silicone oil, as proved by histopathologic examination. We presumed that silicone oil had leaked through the pars plana vitrectomy ports or through a subtle traumatic perforation of the posterior segment, which might have been aggravated by increased intra-ocular pressure postoperatively. In conclusion, mechanical ptosis caused by silicone oil migration after retinal detachment surgery is rare and this is one of the few reports in the literature.</p>
</abstract>
<trans-abstract xml:lang="es">
<title>Resumen</title>
<p>El objetivo de este artículo es describir un caso de ptosis mecánica del párpado superior causada por el desplazamiento del aceite de silicona. Este caso se observó en un paciente jordano tras someterse a vitrectomía pars plana y a una inyección intraocular de aceite de silicona. Un paciente varón de 20 años de edad fue derivado a la unidad de oculoplastia para el tratamiento de la inflamación del párpado superior izquierdo y de una ptosis completa, aparecidas 12 años después de someterse el paciente a una vitrectomía pars plana y a la colocación de aceite de silicona para el desprendimiento de retina que se produjo a consecuencia de un traumatismo ocular perforante. En la exploración ocular se apreció una inflamación en el párpado superior, así como ptosis completa provocada por el peso del tejido inflamado y por el aceite de silicona, tal y como demuestra el examen histopatológico. Supusimos que el aceite de silicona se había filtrado a través de los puertos de la vitrectomía pars plana o a través de una leve perforación traumática del segmento posterior, hecho que podría haberse visto agravado por un aumento de la presión intraocular ocurrido tras la operación. Como conclusión: la ptosis mecánica causada por el desplazamiento del aceite de silicona inyectado para tratar un desprendimiento de retina es poco frecuente; de hecho, éste es uno de los pocos casos que se encuentran en la literatura.</p>
</trans-abstract>
<kwd-group>
<title>Key Words</title>
<kwd>silicone oil</kwd>
<kwd>blepharoptosis</kwd>
<kwd>lipogranulomatous</kwd>
<kwd>retinal detachment</kwd>
</kwd-group>
<kwd-group xml:lang="es">
<title>Palabras Clave</title>
<kwd>aceite de silicona</kwd>
<kwd>blefaroptosis</kwd>
<kwd>lipogranulomatosis</kwd>
<kwd>desprendimiento de retina</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list></list>
<tree>
<noCountry>
<name sortKey="Al Zuoby, Khalid M" sort="Al Zuoby, Khalid M" uniqKey="Al Zuoby K" first="Khalid M." last="Al-Zuoby">Khalid M. Al-Zuoby</name>
<name sortKey="Alawneh, Ali M" sort="Alawneh, Ali M" uniqKey="Alawneh A" first="Ali M." last="Alawneh">Ali M. Alawneh</name>
<name sortKey="Mustafa, Thabit A" sort="Mustafa, Thabit A" uniqKey="Mustafa T" first="Thabit A." last="Mustafa">Thabit A. Mustafa</name>
</noCountry>
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