Submission ID: 010363


Title:
“Brass knuckles” appearance on OCT of subconjunctival silicone oil droplets
Category:
OCT, OCT-A
Description:
A 40 year old pseudophakic male underwent vitrectomy with silicone oil tamponade for rhegmatogenous retinal detachment. Postoperative anterior segment evaluation showed subconjunctival silicone oil droplets in inferior and temporal quadrants(Figure A, black arrows).Corresponding anterior segment swept-source OCT scan showed numerous hyporeflective cyst-like spaces with underlying hyperreflectivity, subconjunctivally and within Tenon capsule (Figure B).The spaces corresponded to silicone oil droplets and were separated by septums which showed shadowing due to lower light penetrability compared to silicone oil. These OCT appearance of silicone oil droplets’ accumulation resembled “Brass knuckles”.

“Brass knuckles” appearance on OCT of subconjunctival silicone oil droplets
Topcon DRI OCT Triton Plus
Dr. Kushal Delhiwala.jpg

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