Posters

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

Poster Details

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

Methods:

270 patients who had previously 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, 130 are females & 140 males. In 107 of the patients cause of RD was a break (rhegmatogenous RD varying from single small to multiple & giant one), in 137 tractional RD of PDR, in 26 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

Results:

Intraoperatively, i didn’t face any problems except extension of the posterior CCC occurred in 9 patients & in 3 cases of them the IOL implanted on the anterior capsule. postoperatively, the BCVA improved in 95.6%, sterile fibrinous reaction in A/C occurred in 9 cases, no IOP rise except in 9 patients who had preoperative silicone induced high IOP,  6 of them controlled by medications postoperatively & now they are under control without any medications, 3  patients still on treatment, in all cases we didn’t see any corneal decompensation, retinal redetachmant occurred in 3 patients ( 1%) ,

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 Disclosure:

None