Refractive change caused silicone oil adhesion to the intraocular lens following Nd:YAG posterior capsulotomy.
A 32-year-old female who had undergone the silicone oil removal procedure presented with visual disturbance in her left eye. Several months previous, she had cataract surgery in a private clinic, and a month later she had a Nd:YAG laser procedure for posterior capsulotomy. The slit-lamp examination revealed silicone oil droplets that had adhered to the intraocular lens where the posterior capsulotomy was performed. She had experienced high myopia as a manifestation of the resulting refractive changes. We replaced the previous intraocular lens with a new acrylic intraocular lens with resulting improvement to her vision. Here we report the case of a female patient with a history of silicone oil removal surgery where the resulting silicone bubbles had not been removed thoroughly and remained in the vitreous cavity. These bubbles subsequently adhered to the intraocular lens following YAG laser posterior capsulotomy, resulting in refractive changes. We recommend that implanting a silicone intraocular lens in anyone with a history of the silicone oil removal procedure or who has a possible history of silicone oil use should be avoided.
Lee
Dong-Hoon
DH
Department of Ophthalmology, Wonju Christian Hospital, Yonsei University Wonju College of Medicine, #162 Ilsan-dong, Wonju, Korea.
Rah
Sang-Hoon
SH
Yoon
Ie-Na
IeN
D000328:Adult; D019923:Capsulorhexis / Q000379:methods*; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D007910:Lenses, Intraocular / Q000009:adverse effects*; D009216:Myopia / Q000139:chemically induced* / Q000503:physiopathology / Q000601:surgery; D011475:Prosthesis Failure; D012029:Refraction, Ocular / Q000187:drug effects*; D012086:Reoperation; D012827:Silicone Oils / Q000009:adverse effects*
D012827:Silicone Oils