A 20-year-old male with primary congenital glaucoma presented with itching and redness of the left eye. The patient had undergone bilateral trabeculectomy followed by vitreoretinal surgery with silicone oil tamponade for retinal detachment in the left eye at 10 years of age. Examination revealed multiple translucent subconjunctival cystic lesions with giant papillae on the upper palpebral conjunctiva. The globe appeared atrophic. Histopathological analysis revealed emulsified silicone oil globules surrounded by chronic granulomatous inflammation. The findings indicated local foreign body reaction to subconjunctival silicone oil extruded through prior sclerotomy sites, leading to chronic inflammation and giant papillary conjunctivitis. The atrophic bulbi was probably a sequel of reduced tamponade effect. This case underscores an uncommon but visually devastating late complication of vitreoretinal surgery.
Gupta et al. (Thu,) studied this question.