2SB Ankara Eğitim ve Araştırma Hastanesi Göz Klinikleri, Ankara, Uzm. Dr.
3SB Ankara Eğitim ve Araştırma Hastanesi 1.Göz Kliniği, Ankara, Asist. Dr.
4SB Ankara Eğitim ve Araştırma Hastanesi Göz Kliniği Koordinatörü, Ankara, Dr. Purpose: To evaluate the technique and complications of phacoemulsification combined with silicone oil removal in cases with cataract after silicone oil endotamponade after vitreoretinal surgery.
Materials and Methods: Forty-four eyes of 44 patients had phacoemulsification with removal of silicone oil through a planned posterior capsulotomy were evaluated retrospectively. An intraocular lens (IOL) was implanted in 40 eyes, 4 eyes left aphakic because the IOL power was zero.
Results: The rate of retinal redetachment was 18.1% (8/44). In 5 cases, pars plana vitrectomy was done; in two of them C3F8 injection and in three of them silicone oil tamponade was necessary to reattach the retina. In two of the 3 eyes with iris neovascularization and neovascular glaucoma Ahmet valve implantation was performed. Three cases refused further treatment. Final visual acuity ranged from perception positive to 0.6. 68.2% (30/44) of the eyes had improved vision. Preexisting macular pathology and recurrent retinal detachment were the main causes for poor vision.
Conclusion: Combined phacoemulsification with transpupillary silicone oil removal is a useful and time consuming procedure, with early visual rehabilitation. The procedure was less traumatic as the need for an additional sclerotomy was avoided.
Keywords : Phacoemulsification, silicone oil, complication