DR.HITESHI JAIN

DR.MADHU KUMAR R., DR.SRIRAM SIMAKURTHY, DR. ASHOK KANAKAMEDALA

Abstract

Purpose: To report a rare manifestation of toxic posterior segment syndrome in a case of rhegmatogenous retinal detachment, after a pars plana vitrectomy with silicone oil tamponade leading to vasculitis.

Case description: A 50-year-old gentleman presented with vasculitis after a pars plana vitrectomy with silicone oil tamponade on the first post operative day. He was started on oral steroids (1mg/ kg) tapered sequentially every week. All signs of vasculitis resolved over a period of one month after which silicon oil removal was performed. The patient maintained a visual acuity of 20/90 even after 3 months. There was no recurrence of vasculitis observed thereafter.

Conclusion: Silicone oil induced vasculitis is a rarely described entity, especially as a manifestation of toxic posterior segment syndrome. This differential must be kept in mind even on the first post operative day in cases with silicone oil tamponade.