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Impressum
Silicone oil removal through posterior capsulorhexis simultaneously with phacoemulsification and PC-IOL implantation
Biro Z., Kovacs B.
Department of Ophthalmology, Medical University of Pécs, Hungary.
Purpose: To investigate the intraoperative and postoperative complications
and the functional results of patients undergoing simultaneous cataract
extraction and silicone oil removal after pars plana vitrectomy (PPV).
Patients and methods: Retrospective analysis of the data of nine
eyes of 9 patients, operated with this combined surgery. The essence of
our new surgical technique is, that BSS through a pars plana infusion
washes out the intravitreal silicone oil though the posterior capsulorhexis
and the pupil. Difficulties of this combined surgical procedure are also
discussed.
Results: There was no severe intraoperative complication, however
temporary corneal edema was observed in two eyes, and retinal redetachment
developed in four cases after surgery. Change in visual acuity was moderate,
due to retinal pathology.
Conclusions: With this combined surgical technique silicone oil
can be released simultaneously with cataract extraction, providing faster
rehabilitation to the patients. Visual acuity is usually poor due to retinal
pathology, and despite the careful surgical technique retinal redetachment
develops in a large proportion of patients within three months.