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Images in Clinical Medicine
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Volume 348:1122 March 20, 2003 Number 12
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Appearance of Intraocular Silicone Oil on Computed Tomography

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A 60-year-old man presented with epiphora, or an abnormal overflow of tears, caused by bilateral primary acquired nasolacrimal-duct obstruction. Computed tomography (CT) of the orbits and sinuses performed as part of the preoperative workup showed a hyperdense mass in the posterior segment of the left eye. On questioning, the patient revealed a history of cytomegalovirus retinitis and retinal detachment in the left eye that had previously been treated with vitrectomy and silicone-oil tamponade. Silicone oil is hyperdense relative to the extraocular muscles but hypodense relative to orbital bone, as seen in a CT scan with the patient in the supine . . . [Full Text of this Article]

 

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