BMJ Case Reports 2017; doi:10.1136/bcr-2017-223003
  • Images in…

Retrobulbar heavy liquid discovered 5 years postvitrectomy

Editor's Choice
  1. Kevin P Kennelly1
  1. 1 Department of Ophthalmology, Royal Perth Hospital, Perth, Australia
  2. 2 Lions Eye Institute, Nedlands, Australia
  1. Correspondence to David M Hille, dmhille{at}
  • Accepted 8 November 2017
  • Published 21 November 2017


This report of a mass in the upper eyelid resulting from long-term complications of heavy liquid tamponade therapy of retinal detachment is a good example of learning from rare cases.

Retinal detachments may be repaired by scleral buckling, vitrectomy surgery or by a combination of both techniques. Retinal detachments repaired by vitrectomy are typically tamponaded by either gas or silicone oil. In certain complex cases, heavy liquid (perfluorohexyloctane/polydimethylsiloxane) is used as a short-term tamponading agent that is subsequently replaced with gas or silicone oil.1 2

A 16-year-old woman presented with bilateral retinal detachments secondary …

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