The great migratory silicone oil

Silicone oil is used as intraocular tamponade because of its high surface tension in vitreoretinal surgeries.[1] Emulsified silicone oil, if not removed on time, may lead to various complications. We present a collage of images demonstrating the presence of emulsified silicone oil in different parts of the eye. Chronic silicone oil endothelial contact [Fig. 1a] can cause endothelial decompensation and the formation of band shaped keratopathy.[2] Emulsified oil particles sticking to the posterior capsule in phakic patients can lead to early cataract formation [Fig. 1b].[3] Similarly, emulsified oil in angles [Fig. 1c] can lead to secondary glaucoma. Migration of silicone oil from ports presents as subconjunctival oil bubbles [Fig. 1d] postoperatively.Figure 1: (a) Slit-lamp image showing emulsified oil touching the corneal endothelium (white arrow). (b) Slit-lamp image showing emulsified oil bubbles adhered to the posterior lens capsule (black arrow). (c) Gonioscopy image of angle showing emulsified oil (red arrows). (d) Subconjunctival silicone oil bubbles (blue arrows)Financial support and sponsorship: Nil. Conflicts of interest: There are no conflicts of interest.