A 30-year-old male, who underwent previous pars plana vitrectomy and silicone oil tamponade due to endogenous endophthalmitis originated from Klebsiella liver abscess, was referred for evisceration. At 2 months after vitrectomy with silicon oil tamponade, conjunctival chemosis and ocular pain were aggravated. Diffuse eyelid swelling and large subconjunctival mass with lipid droplets were noted. On MRI examination, subconjunctival mass and intra- and extraconal orbital mass around superior rectus muscle were observed. Excision of subconjunctival and orbital mass was performed. Histopathologic examination showed multiple silicone oil vacuoles surrounded by foreign body giant cells and fibrosis, which confirmed silicone oil granuloma. In a patient with suspicious melting sclera in diseases such as endophthalmitis, large silicone oil granuloma may be complicated in a rapid fashion after intravitreal silicone oil tamponade due to silicone oil leakage.
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机译：一个30岁的男性，接受了以前的Pars Plana Vectomy和硅油覆盖的硅胶覆盖术，由于内源性的内胚性肝脏炎，被称为剥夺。在硅油局局部玻璃体切除术后2个月，加剧了结膜化学和眼部疼痛。注意到弥漫性眼睑肿胀和具有脂质液滴的大亚细胞肿块。鉴于MRI检查，观察到优质直肠肌肉周围的亚细胞肿块和尿道和外眶内物质。进行分子约集和眶块的切除。组织病理学检查显示出异物巨型细胞和纤维化包围的多个硅油真空，证实了硅油肉芽肿。在诸如内膜炎等疾病的可疑熔化巩膜的患者中，由于硅油泄漏，玻璃体硅油棉铃制术后，大量的硅油肉芽肿可能以快速方式复杂化。
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