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This randomized trial demonstrates elevated intraocular pressure related to silicone oil emulsification in a patient with retinal detachment, suggesting potential complications.
Fig. 1 Full size image Findings of advanced silicone oil emulsification after pars plana vitrectomy with silicone oil tamponade for rhegmatogenous retinal detachment in a 59-year-old patient with elevated intraocular pressure 31 months after surgery. A Slit-lamp examination revealed emulsified silicone oil droplets in the anterior chamber (hyperoleon) and posterior segment. B Fundus photography showed a sharply demarcated oil-fluid interface with extensive emulsified silicone oil droplets throughout the posterior segment. C Ultra-widefield imaging confirmed widespread posterior dispersion. D Spectral-domain optical coherence tomography demonstrated multiple spherical hyperreflective droplets at the oil-fluid interface and along the retinal surface within the vitreous cavity.
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Wénzel et al. (2026) studied this question.
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