Oil, you're kidding me!

Abstract

A 47-year-old female collapses with loss of consciousness secondary to septic shock and is found to have a left orbital fracture and a right orbital mass that was not seen on imaging two years ago. The mass is reported as a possible ocular melanoma. She is free of any eye pain, ophthalmoplegia or deterioration of vision but has pre-existing extensive diabetic proliferative retinopathy. One year ago, she underwent delamination and segmentation with silicone oil injected as a tamponade agent into the right eye. She is seen promptly in the ophthalmological clinic where fundoscopy reveals this mass to be the silicone oil and no further action is required.

Figure 1. Computerised tomography of the head without contrast revealing a right hyperdense orbital mass, fracture of the left orbit with opacification of adjacent ethmoid air cells, air-fluid level in the left maxillary sinus, and subcutaneous emphysema with bruising overlying the left orbital region