Features of cataract surgery in patients with vitreal cavity tamponade with silicone oil

2019 ◽  
Vol 30 (5) ◽  
pp. 61-64
Author(s):  
Y.V. Kudyavtseva ◽  
◽  
L.V. Demakova ◽  
I.A. Gavrilova ◽  
◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Silicone Oil

scholarly journals Refractive outcome of cataract surgery in eyes filled with silicone oil

2019 ◽  
Author(s):  
Piotr Kanclerz ◽  
Christoph Leisser ◽  
Andrzej Grzybowski ◽  
Paweł Lipowski
Keyword(s):  
Cataract Surgery ◽  
Silicone Oil ◽  
Spherical Equivalent ◽  
Refractive Outcome ◽  
Spherical Equivalent Refraction ◽  
Cataract Development ◽  
Oil Injection ◽  
Phacoemulsification Cataract Surgery

Abstract Background Cataract development is common in phakic eyes filled with silicone oil (SO), necessitating subsequent cataract removal. This study evaluated the refractive outcome in eyes filled with SO undergoing phacoemulsification cataract surgery (PCS). Methods This retrospective study evaluated patients with SO tamponade who were scheduled for PCS. Results Subjects (n=26) were followed-up for 29.5 ± 13.9 months after cataract surgery. The median spherical equivalent refraction (SER) was +5.3 D (interquartile range [IQR] +2.9 to +6.7) before PCS, and +3.4 D (IQR +2.0 to +4.4) after PCS. Within the follow-up period retinal reattachment after SO removal was achieved in 15 out of 26 eyes (57.7%). In 13 eyes assessment of refraction after SO-removal was possible, and showed a myopic shift of -4.6 D (IQR -2.9 to -7.3) in the SER. After SO removal, 5 of 13 eyes (38.5%) were within ±1.0 D of the target refraction, while 9 out of 13 eyes (69.2%) were within ±2.0 D. Conclusions The refractive outcome after PCS for eyes filled with SO is less predictable than that for normal eyes. Some of the eyes undergoing silicone oil injection may require long-term tamponade.

Post Cataract Surgery Hyperreflective Lesions within Corneal Incisions Suspected to be Silicone Oil from Disposable Blades

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Joseph Raevis ◽  
Konstantin Astafurov ◽  
Benjamin Wilson ◽  
John Laudi
Keyword(s):  
Cataract Surgery ◽  
Silicone Oil ◽  
Corneal Incisions

CATARACT SURGERY AND SILICONE OIL REMOVAL: VISUAL OUTCOME AND COMPLICATIONS IN A COMBINED VS. TWO STEP SURGICAL APPROACH

Retina ◽  
2003 ◽  
Vol 23 (5) ◽  
pp. 647-653 ◽  
Author(s):  
KATHARINA KREPLER ◽  
MANELI MOZAFFARIEH ◽  
ROBERT BIOWSKI ◽  
JOHANNES NEPP ◽  
ANDREAS WEDRICH
Keyword(s):  
Cataract Surgery ◽  
Surgical Approach ◽  
Silicone Oil ◽  
Visual Outcome ◽  
Oil Removal ◽  
Silicone Oil Removal

Cystoid Macular Edema Associated with Latanoprost Therapy in a Pseudophakic Vitrectomized Patient after Removal of Silicone Oil Endotamponade

2003 ◽  
Vol 13 (2) ◽  
pp. 221-222 ◽  
Author(s):  
M. Jäger ◽  
J.B. Jonas
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Macular Edema ◽  
Cystoid Macular Edema ◽  
Silicone Oil ◽  
Open Angle Glaucoma ◽  
Vitreous Body ◽  
Corticosteroid Treatment ◽  
Posterior Chamber ◽  
Eye Drops

Purpose To describe the occurrence of cystoid macular edema in a pseudophakic vitrectomized patient following use of latanoprost (0.005%). Methods A 58-year-old patient underwent routine cataract surgery with posterior chamber lens implantation complicated by rhegmatogenous retinal detachment three months later. A pars plana vitrectomy was performed with silicone oil endotamponade which was removed six months later. Five months after oil removal, the patient presented with secondary open-angle glaucoma treated with latanoprost 0.005% eye drops once daily. Results Two weeks after initiation of latanoprost treatment, visual acuity dropped from 0.8 to 0.3 due to cystoid macular edema confirmed by fluorescein angiography. After discontinuing latanoprost therapy and with topical corticosteroid treatment, cystoid macular edema slowly resolved, and within 6 months, visual acuity improved to 0.8. Conclusions Despite its marked ocular hypotensive effect, latanoprost should be carefully used in patients after uncomplicated cataract surgery if the vitreous body was removed by pars piana vitrectomy.

scholarly journals Femtosecond Laser-assisted Cataract Surgery—Challenging Cases, Successes, and Complications

2015 ◽  
Vol 8 (1) ◽  
pp. 19
Author(s):  
Mark Packer ◽  
Keyword(s):  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Silicone Oil ◽  
Pediatric Cataract ◽  
Eye Surgery ◽  
Prior Use ◽  
Pediatric Cataract Surgery

While femtosecond laser-assisted cataract surgery (FLACS) is evolving as an alternative to phacoemulsification, there are a lack of data on its use in challenging cases. This article discusses cases in which FLACS is particularly advantageous including subluxated cataracts, prior eye surgery, combined vitrectomy and FLACS, pediatric cataract surgery, small pupils, and nanophthalmos. However, FLACS does not produce superior outcomes in all cases and caution is needed in cases of posterior polar cataracts, glaucoma, and prior use of silicone oil.

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.

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