RESUMO
We report the outcome in 2 eyes of 2 patients with retained silicone oil droplets in the anterior chamber drainage angle after the use of an ophthalmic viscosurgical device (OVD) during cataract surgery. Silicone oil droplets were observed when the OVD was injected into the anterior chamber during phacoemulsification. Despite removal by irrigation and aspiration, droplets were observed in the anterior chamber during the immediate postoperative period. At 15 months, they were observed in the drainage angle. The retained silicone did not produce untoward side effects in the eyes. Silicone oil is a common contaminant in OVDs but appears to be inert and harmless when retained in small amounts in the anterior chamber drainage angle.
Assuntos
Câmara Anterior/patologia , Contaminação de Medicamentos , Corpos Estranhos no Olho/diagnóstico , Facoemulsificação , Óleos de Silicone , Malha Trabecular/patologia , Idoso , Idoso de 80 Anos ou mais , Contagem de Células , Sulfatos de Condroitina/administração & dosagem , Endotélio Corneano/patologia , Feminino , Gonioscopia , Humanos , Ácido Hialurônico/administração & dosagem , Pressão Intraocular , Masculino , Acuidade VisualRESUMO
Orbital exenteration can be complicated by cerebrospinal fluid leakage, mostly during surgery. Late-onset cerebrospinal fluid leakage that occurs years after the initial orbital exenteration is rare. The authors report a case of cerebrospinal fluid leakage that occurred 4 years after orbital exenteration that was not due to tumor recurrence. The leakage was managed successfully by the application of cyanoacrylate tissue glue. No complication was encountered.