Un-doing All that Good Work! Glaucoma After Vitrectomy and Silicone Oil Injection for the Treatment of Complicated Retinal Detachment

Elizabeth McElnea *,Aoife N

Abstract

Background: Elevated intraocular pressure is a common complication of pars plana vitrectomy and silicone oil infusion. Methods: We describe a case of pupil block glaucoma consequent to the occlusion by inflammatory fibrinous membrane formation of an inferior peripheral iridectomy after vitreoretinal surgery and endotamponade with silicone oil in a patient with complex rhegmatogenous retinal detachment. Results: This report highlights the importance of glaucoma management after this type of surgery. Conclusion: As in the case described here, much emphasis is placed on the successful re-attachment of the retina in these cases. Delayed detection and/or suboptimal monitoring of optic nerve damage can occur. Glaucoma after pars plana vitrectomy with adjuvant silicone oil can lead to serious glaucomatous optic nerve damage.