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Single-step phacoemulsification with PCIOL with transpupillary silicon oil removal: the road less travelled

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First Author: R.Malik INDIA

Co Author(s):    M. Sachdev   H. Gupta                 

Abstract Details

Purpose:

To demonstrate the efficacy and safety of a novel technique to remove silicon oil through the transpupillary route.

Setting:

A tertiary eye-care centre

Methods:

Post Vitreo-retinal surgery, silicon oil has traditionally been removed through the pars plana route, requiring a posterior segment surgeon and a second surgery. We describe a novel way of removing the silicon oil, through posterior capsular capsulorrhexis after phacoemulsification. We conducted a retrospective analysis of 50 eyes having undergone vitreo-retinal surgery with silicon oil injection, and requiring silicon oil removal. In patients that had a stable and well attached retina, After phacoemulsification, a posterior capsulorhexis was made. Silicon oil was removed through the trans-pupillary route.

Results:

Interval between VR surgery and oil removal with Phaco was 6 weeks to 12 months (median time 11 weeks). Mean preoperative Intra Ocular Pressure was 15 ± 5.2 mmhg and mean postop IOP was 13 ±5.7. Mean duration of surgery was 17.2 ±7 mins. Best corrected visual acuity improved in 78%. There was no case of intraoperative vitreous hemorrhage. Retina remained attached in 48 eyes ( 96%). On table, re-detachment was noted in 1 eye ( 2%), where silicon oil was reinjected. In one eye retina detached 4 days later. No significant endothelial changes were seen at 6 month follow-up.

Conclusions:

Single step micro-incision cataract surgery combined with transpupillary silicon oil removal is a fast, safe and effective method that can be performed in selected cases with stable retina. This minimally invasive, shorter duration technique leads to rapid visual rehabilitation.

Financial Disclosure:

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