Seeing Floaters: A Case Report and Literature Review of Intraventricular Migration of Silicone Oil Tamponade Material for Retinal Detachment

Matthew B. Potts*, Alex C. Wu, David J. Rusinak, Kartik Kesavabhotla, Babak S. Jahromi

*Corresponding author for this work

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Intraocular injection of silicone oil is commonly performed during vitrectomy to tamponade the retina in place for treatment of retinal detachment. Although rare, this intravitreal silicone can migrate through the optic nerve and chiasm and enter the cerebral ventricles. Case Description: Here we present a case report of a patient presenting with headache and intraventricular hyperdensities on a computed tomography (CT) scan, raising a concern for intraventricular hemorrhage. However, the intraventricular hyperdensities were in a nondependent location and moved to a new nondependent location when repeat imaging was performed with the patient in the prone position. We provide a literature review of this phenomenon and discuss the relevant CT and magnetic resonance imaging findings. Conclusions: Intraocular silicone can rarely migrate into the cerebral ventricular system. Careful review of the clinical history and imaging findings can help distinguish this from other, more dangerous intracranial pathologies.

Original languageEnglish (US)
Pages (from-to)201-205
Number of pages5
JournalWorld neurosurgery
Volume115
DOIs
StatePublished - Jul 2018

Fingerprint

Silicone Oils
Cerebral Ventricles
Retinal Detachment
Silicones
Tomography
Intraocular Injections
Optic Chiasm
Prone Position
Vitrectomy
Optic Nerve
Headache
Retina
Magnetic Resonance Imaging
Pathology
Hemorrhage
Therapeutics

Keywords

  • Intraocular silicone oil tamponade
  • Intraventricular hemorrhage
  • Intraventricular migration
  • Retinal detachment

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

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title = "Seeing Floaters: A Case Report and Literature Review of Intraventricular Migration of Silicone Oil Tamponade Material for Retinal Detachment",
abstract = "Background: Intraocular injection of silicone oil is commonly performed during vitrectomy to tamponade the retina in place for treatment of retinal detachment. Although rare, this intravitreal silicone can migrate through the optic nerve and chiasm and enter the cerebral ventricles. Case Description: Here we present a case report of a patient presenting with headache and intraventricular hyperdensities on a computed tomography (CT) scan, raising a concern for intraventricular hemorrhage. However, the intraventricular hyperdensities were in a nondependent location and moved to a new nondependent location when repeat imaging was performed with the patient in the prone position. We provide a literature review of this phenomenon and discuss the relevant CT and magnetic resonance imaging findings. Conclusions: Intraocular silicone can rarely migrate into the cerebral ventricular system. Careful review of the clinical history and imaging findings can help distinguish this from other, more dangerous intracranial pathologies.",
keywords = "Intraocular silicone oil tamponade, Intraventricular hemorrhage, Intraventricular migration, Retinal detachment",
author = "Potts, {Matthew B.} and Wu, {Alex C.} and Rusinak, {David J.} and Kartik Kesavabhotla and Jahromi, {Babak S.}",
year = "2018",
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T2 - A Case Report and Literature Review of Intraventricular Migration of Silicone Oil Tamponade Material for Retinal Detachment

AU - Potts, Matthew B.

AU - Wu, Alex C.

AU - Rusinak, David J.

AU - Kesavabhotla, Kartik

AU - Jahromi, Babak S.

PY - 2018/7

Y1 - 2018/7

N2 - Background: Intraocular injection of silicone oil is commonly performed during vitrectomy to tamponade the retina in place for treatment of retinal detachment. Although rare, this intravitreal silicone can migrate through the optic nerve and chiasm and enter the cerebral ventricles. Case Description: Here we present a case report of a patient presenting with headache and intraventricular hyperdensities on a computed tomography (CT) scan, raising a concern for intraventricular hemorrhage. However, the intraventricular hyperdensities were in a nondependent location and moved to a new nondependent location when repeat imaging was performed with the patient in the prone position. We provide a literature review of this phenomenon and discuss the relevant CT and magnetic resonance imaging findings. Conclusions: Intraocular silicone can rarely migrate into the cerebral ventricular system. Careful review of the clinical history and imaging findings can help distinguish this from other, more dangerous intracranial pathologies.

AB - Background: Intraocular injection of silicone oil is commonly performed during vitrectomy to tamponade the retina in place for treatment of retinal detachment. Although rare, this intravitreal silicone can migrate through the optic nerve and chiasm and enter the cerebral ventricles. Case Description: Here we present a case report of a patient presenting with headache and intraventricular hyperdensities on a computed tomography (CT) scan, raising a concern for intraventricular hemorrhage. However, the intraventricular hyperdensities were in a nondependent location and moved to a new nondependent location when repeat imaging was performed with the patient in the prone position. We provide a literature review of this phenomenon and discuss the relevant CT and magnetic resonance imaging findings. Conclusions: Intraocular silicone can rarely migrate into the cerebral ventricular system. Careful review of the clinical history and imaging findings can help distinguish this from other, more dangerous intracranial pathologies.

KW - Intraocular silicone oil tamponade

KW - Intraventricular hemorrhage

KW - Intraventricular migration

KW - Retinal detachment

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