Phacoemulsification and combined management of intraocular silicone oil

• Published in: Journal of cataract and refractive surgery Vol. 24; no. 5; pp. 585 - 591
• Main Authors: Tanner, Vaughan, Haider, Ali, Rosen, Paul
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.05.1998; Elsevier Science
• Subjects: Adult; Aged; Biological and medical sciences; Capsulorhexis - methods; Cornea - surgery; Drainage - methods; Female; Follow-Up Studies; Humans; Iris - surgery; Lens Implantation, Intraocular; Male; Medical sciences; Middle Aged; Phacoemulsification - methods; Postoperative Complications; Silicone Oils; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the eye and orbit; Treatment Outcome; Visual Acuity; Vitrectomy; Human; Cataract; Cornea; Surgical incision; Intraocular; Aspiration; Silicone oil; Phacoemulsification; Eye disease; Lens disease; Treatment; Surgery; Technique; Anterior segment disease
• ISSN: 0886-3350; 1873-4502
• DOI: 10.1016/S0886-3350(98)80250-2

We report two techniques in which cataract extraction is carried out by phacoemulsification through a corneal incision. If silicone oil is to be removed, a posterior continuous curvilinear capsulorhexis is performed, allowing aspiration of oil through the capsulorhexis followed by lens implantation into the remaining capsular bag. If silicone oil is to be left in situ, the remaining capsule is removed, converting the cataract extraction to an intracapsular-type procedure that retains the advantages of small incision surgery. These techniques offer good improvement in vision and retinal view with more rapid rehabilitation than conventional large incision surgery. The 20% retinal redetachment is comparable to that of other studies and we have not encountered any other significant complications with these techniques.