Complications of cataract surgery in eyes filled with silicone oil

2018 ◽  
Vol 28 (4) ◽  
pp. 465-468 ◽  
Author(s):  
Piotr Kanclerz ◽  
Andrzej Grzybowski ◽  
Stephen G Schwartz ◽  
Paweł Lipowski
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Silicone Oil ◽  
Open Angle Glaucoma ◽  
Posterior Chamber ◽  
Open Angle ◽  
Intraocular Lens Implantation ◽  
Posterior Chamber Intraocular Lens ◽  
Lens Implantation ◽  
Capsular Rupture

Introduction: The aim of the study was to evaluate complications of cataract surgery in eyes filled with silicone oil. Methods: This retrospective, noncomparative, consecutive case series analyzed medical files of patients with eyes filled with silicone oil undergoing cataract surgery. Phacoemulsification with posterior chamber intraocular lens implantation was conducted with or without concurrent silicone oil removal. Results: In this study, 121 eyes of 120 patients were included. In 32 eyes (26.4%) with evident silicone oil microemulsification or silicone oil–associated open-angle glaucoma, silicone oil was removed prior to phacoemulsification through a pars plana incision and no cases of posterior capsular rupture occurred during the subsequent cataract surgery. In the remaining 89 eyes, phacoemulsification was performed with silicone oil in the vitreous cavity. In these eyes, the rate of posterior capsular rupture was 9/89 (10.1%) and the rate of silicone oil migration into the anterior chamber through an apparently intact posterior capsule was 5/89 (5.6%). In 94 eyes (77.7%), an intraocular lens was inserted into the capsular bag, in 3 eyes (2.5%) into the sulcus, and in 1 eye (0.8%) a transscleral suturing was performed. Conclusions: In this series, complications related to the silicone oil were not uncommon during cataract surgery. In the majority of patients without evident silicone oil microemulsification or silicone oil–associated open-angle glaucoma, cataract surgery and posterior chamber intraocular lens implantation were performed while leaving the silicone oil in place.

scholarly journals Comparison of Patient's Satisfaction Level after Different Types of Posterior Chamber Intraocular Lens Implantation

ISRN Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Muhammad Waseem ◽  
Sadia Humayun ◽  
Omer Farooq ◽  
Quratulain Humayun ◽  
Sana Sadiq Sheikh
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Night Vision ◽  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Satisfaction Level ◽  
Intraocular Lens Implantation ◽  
Patient’S Satisfaction ◽  
Posterior Chamber Intraocular Lens ◽  
Lens Implantation

Objective. To compare patient’s satisfaction level in performing routine activities during daylight and night vision after implantation with rigid, foldable, or rollable posterior chamber intraocular lens implants in uneventful cataract surgery. Design. Retrospective, cross-sectional. Place and Duration of Study. PNS SHIFA Hospital, Karachi, from Nov. 2009 to Nov. 2010. Methodology. 91 cataract surgery patients who had uneventful phacoemulsification, within the bag placement of intraocular lens and achieved best corrected visual acuity 6/9 or better were included in the study. Patients who developed postoperative complications were excluded. A specially designed questionnaire was used to assess patient’s satisfaction level of vision for those who underwent cataract surgery at least 3 months ago. Finally, they were categorized into five groups ranging from “very good” to “very poor.” SPSS version 16 was used to analyze the results. Results. There was a difference in satisfaction level between three groups. Vision was good in the day and the night with foldable posterior chamber intraocular lens implants. Conclusion. It was concluded that visual satisfaction level of patients who had foldable posterior chamber intraocular lens implantation was better during the day and night as compared to patients who had rigid or rollable posterior chamber intraocular lenses implantation.

scholarly journals Ischemic Retinal Vasculitis Associated with Cataract Surgery and Intracameral Vancomycin

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Lucas T. Lenci ◽  
Eric K. Chin ◽  
Christi Carter ◽  
Stephen R. Russell ◽  
David R. P. Almeida
Keyword(s):  
Cataract Surgery ◽  
Antibiotic Prophylaxis ◽  
Intraocular Lens ◽  
Retinal Vasculitis ◽  
Retinal Ischemia ◽  
Posterior Chamber ◽  
Intraocular Lens Implantation ◽  
Posterior Chamber Intraocular Lens ◽  
Lens Implantation ◽  
Hemorrhagic Occlusive Retinal Vasculitis

Recently, there have been reports suggesting that intracameral vancomycin has been associated with retinal vasculitis; some have described this phenomenon as postoperative hemorrhagic occlusive retinal vasculitis. We present a case of a 65-year-old woman who underwent uncomplicated phacoemulsification and posterior chamber intraocular lens implantation followed by intracameral antibiotic prophylaxis. Unlike prior reports, this report demonstrates a case of mild visual reduction and minimal inflammation with subtle but complete unilateral peripheral retinal ischemia associated with cataract surgery and intracameral vancomycin, suggesting a spectrum of toxicity that may be underrecognized.

scholarly journals Ultrasound Biomicroscopy and Scheimpflug Imaging in Anterior Megalophthalmos: Changes Seen after Cataract Surgery

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Nishant Nawani ◽  
Arun K. Jain ◽  
Ramandeep Singh
Keyword(s):  
Cataract Surgery ◽  
Anterior Chamber ◽  
Intraocular Lens ◽  
Ultrasound Biomicroscopy ◽  
Posterior Chamber ◽  
Intraocular Lens Implantation ◽  
Scheimpflug Imaging ◽  
Posterior Chamber Intraocular Lens ◽  
Lens Implantation ◽  
Anterior Megalophthalmos

Purpose. With this report we describe ultrasound biomicroscopic (UBM) findings in a patient with anterior megalophthalmos before and after undergoing phacoemulsification with posterior chamber intraocular lens implantation.Methods. Phacoemulsification was carried out for nuclear sclerosis in both eyes of a patient diagnosed with anterior megalophthalmos. The patient was subjected to detailed ophthalmic examination including ultrasound biomicroscopy and Scheimpflug imaging prior to and after surgery. Preoperative ultrasound biomicroscopy revealed a deep anterior chamber with posterior bowing of the midperipheral iris in both eyes. The ciliary processes were inserted on the posterior surface of the iris. UBM was repeated postoperatively as well.Results. Phacoemulsification and posterior chamber intraocular lens implantation (IOL) were carried out successfully in both eyes. The IOLs were well centered and captured within the anterior capsulorhexis. The anterior chambers were hyperdeep, 6.24 mm (OD) and 6.08 mm (OS), respectively. The posterior bowing of the midperipheral iris was absent, with the iris having a more flat profile.Conclusion. UBM findings in anterior megalophthalmos seemed to partially resolve after cataract surgery. The anterior chamber deepens appreciably as well.

scholarly journals CATARACT SURGERY

2006 ◽  
Vol 13 (02) ◽  
pp. 225-230
Author(s):  
NAEEM RUSTAM ◽  
IRSHAD HUSSAIN ◽  
MUHAMMAD WASEEM
Keyword(s):  
Intraocular Pressure ◽  
Cataract Surgery ◽  
Intraocular Lens ◽  
Posterior Chamber ◽  
Exfoliation Syndrome ◽  
Intraocular Lens Implantation ◽  
Group I ◽  
Department Of Ophthalmology ◽  
Posterior Chamber Intraocular Lens ◽  
Lens Implantation

Objective: To investigate the course of intraocular pressure after cataract surgery in patients havingpseudo exfoliation syndrome but without any evidence of glaucoma. Design: Prospective age-matched comparativetype. Place and Duration of Study: Department of Ophthalmology, Combined Military Hospital, Peshawar and MilitaryHospital, Rawalpindi. From 1 November 2003 to 30 April st th 2004. Patients and Methods: Ninety five patients havingcataract, were divided into two groups. Group I consisted of forty five patients with pseudo exfoliation syndrome andGroup II comprised control group of fifty patients not having pseudo exfoliation. All the patients underwent extracapsularcataract extraction with posterior chamber intraocular lens implantation. The intra- ocular pressure wasmeasured pre-operatively as well as on 7th post-operative day, 1st and 3rd post-operative months, in addition to otherpre- and post-operative evaluation. Results: Statistically, there was no significant difference in the pre-operativeintraocular pressure between the two study groups. At 7th post-operative day, the intraocular pressure was below 18mm of Hg in all the patients. First and 3rd month after the surgery, a decrease in intraocular pressure was observed.The inter-group differences in intraocular pressures at 1st and 3rd post-operative months were statistically not significant.Conclusion: Seven days after extra-capsular cataract extraction with posterior chamber intraocular lens implantation,no increase in intraocular pressure was observed in the eyes with pseudo exfoliation syndrome. Three months aftercataract surgery, intraocular pressure levels decreased in eyes with pseudo exfoliation syndrome similarly as in controlgroup.

Sign in / Sign up

Export Citation Format

Share Document