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Reminder of important clinical lesson
CASE REPORT
Silicone oil mimicking pathology on CT imaging
  1. Shreya Haldar1,
  2. Sananda Turner2,
  3. Mandeep Singh Bindra1
  1. 1Department of Ophthalmology, Stoke Mandeville Hospital, Aylesbury, UK
  2. 2Department of Radiology, Southmead Hospital, Bristol, UK
  1. Correspondence to Dr Shreya Haldar, shreya_haldar{at}hotmail.com

Summary

An 81-year-old man was taken to Accident & Emergency after a fall. CT brain imaging demonstrated a well-defined, homogenous, hyperdense mass in the posterior segment of the left eye. Reported as vitreous haemorrhage, an urgent ophthalmological assessment was instigated.

Detailed history revealed previous vitreoretinal procedures for multiple retinal detachments. Ophthalmological examination confirmed presence of silicone oil in this eye.

The appearance of silicone oil in the eye has become an increasingly prevalent finding given its continued use in complex vitreoretinal procedures since 1962. Clinicians regularly interpreting orbital, facial and brain imaging need to be aware of these imaging appearances to prevent diagnostic confusion.

  • retina
  • radiology

https://doi.org/10.1136/bcr-2017-223577

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    Footnotes

    • Contributors SH wrote the case report. ST wrote the radiological findings part of the manuscript. MSB reviewed and edited the case report.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.