Korean J Ophthalmol.  2009 Dec;23(4):309-311. 10.3341/kjo.2009.23.4.309.

Refractive Change Caused Silicone Oil Adhesion to the Intraocular Lens Following Nd:YAG Posterior Capsulotomy

• Lee DH
• Rah SH
• Yoon IN

• KMID: 754770
• DOI: http://doi.org/10.3341/kjo.2009.23.4.309

Abstract

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.

Keyword

Nd:YAG laser; Refractive change; Silicone oil

MeSH Terms

Adult
Capsulorhexis/*methods
Female
Humans
Laser Therapy/*methods
Lasers, Solid-State/*therapeutic use
Lenses, Intraocular/*adverse effects
Myopia/*chemically induced/physiopathology/surgery
Prosthesis Failure
Refraction, Ocular/*drug effects
Reoperation
Silicone Oils/*adverse effects