Combined phacoemulsification and trans-posterior CCC silicone oil removal through a small corneal incision

Session Details

Session Title: Combined Cataract Surgery Techniques. Surgical Devices

Session Date/Time: Saturday 05/09/2015 | 08:30-10:30

Paper Time: 09:18

Venue: Main Auditorium

First Author: : A.Ehnaidy LIBYA

Co Author(s): :                        

Abstract Details

Purpose:

to evaluate & ascertain the advantage of this technique using both anterior chamber & posterior chamber skills & it's influence on intraoperative & postoperative complications, the visual outcome in phacoemulsification & trans pupillary silicone oil removal through planned posterior curvilinear circular capsulorhexis.

Setting:

Alwafa Eye Clinic Altayeb Eye Clinic,Libya Tripoli Eye Hospital, Libya

Methods:

90 patients who operated for retinal detachment by the same surgeon using triport ppv + silicone oil injection underwent combined phacoemulsification & trans posterior ccc silicone oil removal by the same surgeon, 49 were females & 41 males. In 35 of the patients the cause of RD was rhegmatogenous, in 49 tractional RD of PDR, in 5 patients intraocular metallic FB & traumatic vitreous Hrge & macular hole with retinal detachment in one patient. The mean interval between PPV & PE with IOL implantation is 7 months, mean interval between PE & final exam 12 months, mean age 56 years.

Results:

Intraoperatively, nothing except in 6 patients there was posterior capsular plaque (fibrosis) where the post CCC was assisted by peeling of the plaques & the use of scissors, posterior capsular tear & extension of the posterior CCC occurred in 3 patients & in one of them the IOL implanted on anterior capsule & in the sulcus. postoperatively the BCVA improved in 95.6%, sterile fibrinous reaction in A/C occurred in 3 cases, no IOP rise except in 5 patients who had preoperative silicone induced high IOP, 4 of them controlled by medications & now they are under control without any medications, 1 patient still on treatment, in all cases no corneal decompensation seen, retinal redetachmant occurred in 2 patients ( 0.02%).

Conclusions:

Combined phacoemulsification & trans-posterior CCC silicone oil removal through the same small corneal incision was found to be safe & the method of choice in cases of cataract with previous silicone oil injection with stable retina & in reducing the intraoperative & postoperative complications. . Combined phacoemulsification & Trans posterior CCC silicone oil removal through the same small corneal incision provides visual rehabilitation & avoid the risk of multiple surgeries. . retinal pathology influence the visual outcome

Financial Interest:

NONE