Heras-Mulero H, Garcia-Layana A, Fernandez-Hortelano A, Garcia-Gomez PJ, Sadaba-Echarri LM. Aceite de silicona para el tratamiento de la maculopatía hipotónica. Arch Soc Esp Oftalmol 2005 Jul;80(7):417-420.
Case report: We report a case of a man who developed hypotonic maculopathy after vitreoretinal surgery for anterior proliferative vitreoretinopathy. After an injection of intravitreal triamcinolone, the ocular pressure did not increase, therefore silicone oil was injected. After this, the visual acuity increased and the choroidal and retinal folds regressed.
Discussion: Hypotonic maculopathy is a frustrating problem, often resulting in poor visual acuity. There are not many effective treatments. The injection of silicone oil could be an alternative to increase the intraocular pressure and re-establish the normal anatomy of the eye, improving the visual acuity in some patients