Case ReportsSpontaneous Perforation of the Cornea Following Silicone Oil KeratopathyVenkatesh, Pradeep MD; Chawla, Rohan MD, FRCS(Glasg); Tewari, H K MD Author Information From the Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. Received for publication January 27,2004; revision received April 28, 2004; accepted May 17, 2004. Reprints: Pradeep Venkatesh, MD, F-60, Ansari Nagar, AIIMS, New Delhi 110029, India (e-mail: [email protected]). Cornea 24(3):p 347-348, April 2005. | DOI: 10.1097/01.ico.0000138859.03141.46 Buy Metrics Abstract Purpose: To report a sight-threatening complication of silicone oil injection for management of complex retinal detachment. Methods: Review of case record. Results: Spontaneous perforation of cornea may occur following silicone oil injection into an eye for complex retinal detachments. Risk factors are longer duration of oil in the eye, aphakia, silicone oil in the anterior chamber, and extensive and multiple surgeries. Conclusions: In high-risk cases, regular assessment of corneal status and removal of silicone oil may help to prevent such a complication. © 2005 Lippincott Williams & Wilkins, Inc.