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This patient is a 52-year-old man who developed cataracts a few years ago and underwent successful cataract surgery with implantation of accommodating silicone IOLs. He had a beautiful result and recovery of excellent vision, until a surfboard hit his right eye and caused a macula-on retinal detachment.
He underwent successful pars plana vitrectomy and scleral buckling to address the retinal detachment. He did well for a few months but then re-detached and was taken back to the operating room for silicone oil placement. This helped, and the retina remained attached and stable for many months. The silicone oil was removed, and the patient returned to me to see if his refractive status could be improved.
Silicone oil on IOL.
On examination the patient had axial elongation of approximately 1 mm due to the scleral buckle. This induced about 2.5 D of myopia in this eye. In addition, he noted ghosting and distortion from images. Examination showed silicone oil adherent to the posterior surface of the IOL.
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