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Subretinal silicone oil: OCT imaging findings and surgical management of a rare and unusual iatrogenic complication of retinal detachment surgery
  1. Emma Linton and
  2. Kirti Jasani
  1. Ophthalmology, Manchester University NHS Foundation Trust, Manchester, UK
  1. Correspondence to Emma Linton; Emmalinton{at}


A man in his 50s underwent vitrectomy surgery for a macular off retinal detachment which was complicated by intraoperative hypotony and suprachoroidal haemorrhage, resulting in the use of silicone oil tamponade. Postoperatively, several retained cysts of fluid were seen underneath the retina, one of which was large and close to the macular. Imaging was used to determine that this was likely retained silicone oil. Given the potential of migration to the macular and retinal toxicity, the decision was made to remove the larger oil bubbles under the retina. We explain how the oil may have got under the retina in this unusual case, how we dealt with it and discuss other cases of different substances under the retina and their appearance on ocular imaging.

  • Ophthalmology
  • Retina
  • Eye

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  • Contributors Both authors contributed to the conception, drafting and revising of the article and give their final approval of the version to be published. EL: looked after the patient, gathered case information and images, drafted the case report and submitted it. KJ: looked after the patient, took patient’s consent for publication, redrafted/amended the case report and gave final approval for submission.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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