Combined clear corneal phacoemulsification and transpupillary removal of silicone oil. Y ü ksel Totan , Ramazan Ya ĝ c ı , Zeynel Arslany ı lmaz , U ĝ urcan Keskin The authors have no financial interest. Introduction.
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Combined clear corneal phacoemulsification and transpupillary removal of silicone oil
Yüksel Totan, Ramazan Yaĝcı, Zeynel Arslanyılmaz, Uĝurcan Keskin
Theauthorshave no financialinterest
Handmotion in 2 eyes,
Fingercounting in 5 eyes,
0.05 to0.7 (Snellenschart) in 13 eyes
Aftercombinedphacoemulsificationplussilicone oil removal
Fingercounting in 3 eyes,
0.1 to1.0 (Snellenschart) in 17 eyes
“Mean BCVA increase is 2 Snellenslines”
IOL implantation in 18 eyes,
Typeof IOL implantation:
Capsularbag in 12 eyes
Ciliarysulcus in 6 eyes.
HydrophilicacrylicmonoblocIOL in 14 eyes,
HydrophobicacrylicmonoblocIOL in 4 eyes
Mean, 12 months(range, 4-36 months)
Themeandeviation,-1.0 ± 1.84 D (range, +2.0 to-5.0 D)
A total of 90% waswithin± 2 D
45% had a deviation of ± 1 D
Cataract is a commoncomplicationfollowingvitreoretinalsurgerywithsiliconeoiltamponade.
Combinedphacoemulsificationandsiliconeoilremovalthrough a clearcornealincision has someadvantages :
Reducednumber of surgicalprocedures,
Lessor no posteriorpressureduringphacoemulsificaiton,
Reduced risk of retinaldetachmentandvitreoushemorrhage (Because ora serrata is spared)
Somepotentialdisadvantages of combinedsurgery:
Increaseddifficulty of in-thebagIOL implantation (particularlyfor mono-blochydrophilicIOLs),
No chance of membranepeelingorretinalstabilization.
Potentialsubluxation of the IOL in case of inadvertentlargeposteriorcapsulotomy
Combinedphacoemulsificationandsiliconeoilremovalthrough a clearcornealincision is a safeandeffectivetechnique, but must be reservedin selectedcases in which retina is permanentlystabilizedwith no significantepiretinalorsubretinalmembranes.