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.