Turkish Abstract Abstract Article PDF Similar Articles Mail to Author

¹S.B. Beyoğlu Göz Eğitim ve Araştırma Hastanesi, İstanbul, Uzm. Dr.
²S.B. Beyoğlu Göz Eğitim ve Araştırma Hastanesi, İstanbul, Doç. Dr.
³S.B. Beyoğlu Göz Eğitim ve Araştırma Hastanesi, İstanbul, Asist. Dr.
⁴S.B. Beyoğlu Göz Eğitim ve Araştırma Hastanesi Klinik Şefi, İstanbul, Prof. Dr. Purpose: To evaluate outcomes of phacoemulsification combined with transscleral silicone oil removal in eyes that developed cataract after silicone oil tamponade in vitreoretinal surgery.
Materials and Methods: Fifteen eyes of 15 patients (10 male, 5 female; mean age 47.6 years) who underwent phacoemulsification with removal of silicone oil through 20-gauge or 23-gauge sclerotomy at our clinic were evaluated retrospectively. The reason for pars plana vitrectomy and silicone oil injection was diabetic retinopathy - tractional retinal detachment in 8 eyes and rhegmatogenous retinal detachment in 7 eyes. All eyes had 1000 cs silicone oil. Foldable hydrophobic acrylic intraocular lenses were implanted in all operations.
Results: The mean follow-up time was 6.6±4.6 (±SD) months. The mean time interval between the phacoemulsification and previous vitrectomy with silicone oil implantation was 10.5±3.5 months. Visual acuity improved in 10 eyes (67%) and remained the same in 5 eyes (33%) following the operation. At the final visit, 9 eyes (60%) had a visual acuity of 20/200 or better. During the study period, 7 eyes (47%) underwent YAG - laser capsulotomy for posterior capsular opacification.
Conclusion: Transscleral silicone oil removal combined with phacoemulsification is a safe and useful procedure. The most detected post-operative complication was posterior capsular opacification. This combined procedure maximally increases the visual acuity, but the visual prognosis is determined by macular status. Keywords : Cataract, phacoemulsification, silicone oil removal