case_images: PMC10957032_01
case_images: Slit-lamp photograph of the right eye showing corneal scarring, inverse hypopyon, transillumination defects (a), Slit-lamp photograph of the left eye showing corneal scarring, conical protrusion, transillumination defects, and pseudophakia (b), Anterior segment optical coherence tomography scans showing corneal thinning and ectasia in the right eye (c) and the left eye (d), Pentacam (Pentacam HR, Oculus Optikgerate GmbH, Germany) scans showing advanced keratoconus in the right eye (e) and the left eye (f)
case_images: OJO-17-124-g001.jpg
case_images: PMC10957032_01_OJO-17-124-g001.jpg
case_images: ojo_35_23-f001
case_images: Ocular examination revealed nystagmus, bilateral central corneal scarring, depigmented irides, diffuse iris transillumination defects, and bilateral pseudophakia [Figure 1a and b]. The right eye showed emulsified oil globules in the anterior chamber with a hyperoleon [Figure 1a]. ACD was 5.84 mm with an AL of 32.13 mm in the right eye. Anterior segment optical coherence tomography scans showed extensive corneal thinning and advanced corneal ectasia in both eyes [Figure 1c and d]. The Pentacam scans showed advanced keratoconus with extreme corneal thinning and stromal scarring [Figure 1e and f].
case_images: Ultra-wide field photograph of the left eye showing rhegmatogenous retinal detachment in the left eye (a), Postoperative ultra-wide field photograph of the left eye showing attached retina with silicone oil in situ (b)
case_images: OJO-17-124-g002.jpg
case_images: PMC10957032_01_OJO-17-124-g002.jpg
case_images: ojo_35_23-f002
case_images: Fundus examination revealed emulsified oil globules in the vitreous cavity with an attached retina in the right eye, while the left eye showed a total RRD with an inferotemporal retinal break [Figure 2a]. At 4 months of follow-up, the retina was attached in the left eye, and BCVA improved to 6/60 [Figure 2b].