Manual Removal of Intraocular Lens Silicone Oil Droplets and Dystrophic Calcifications Using a Nitinol Loop: A Case Series

Purpose: The purpose of this article is to report the detailed stages of intraretinal silicone oil infiltration, and to describe a new surgical treatment for this condition. Methods: An observational case series is presented. Results: We report 2 patients who had undergone repair of complex diabetic retinal detachment and subsequently developed intraretinal migration of emulsified silicone oil, cystoid macular edema (CME), and lamellar macular hole (LMH). Surgical removal of the incarcerated oil bubbles rapidly restored foveal anatomy in both cases. Possible risk factors for intraretinal oil migration are discussed. Conclusions: Emulsified silicone oil droplets can penetrate the retina, resulting in CME and LMH. While severe CME in this setting is usually recalcitrant to pharmacotherapy, vitrectomy with expression of oil droplets may result in rapid and longstanding resolution.

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Recurrent Intraocular Lens Dislocation in a Patient with Familial Ectopia Lentis

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094545 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4545

Author(s):

Tomasz K. Wilczyński ◽

Alfred Niewiem ◽

Rafał Leszczyński ◽

Katarzyna Michalska-Małecka

Keyword(s):

Intraocular Lens ◽

Pars Plana Vitrectomy ◽

Vision Loss ◽

Silicone Oil ◽

Single Case ◽

Recurrent Dislocation ◽

Ectopia Lentis ◽

Pars Plana ◽

The Right

A 36-year-old patient presented to the hospital with recurrent dislocation of the intraocular lens (IOL). The patient with the diagnosis of familial ectopia lentis was first operated on for crystalline lens subluxation in the left eye in 2007 and in the right eye in 2009. In both eyes, lens extraction with anterior vitrectomy and transscleral fixation of a rigid IOL was performed. In 2011, the IOL in the right eye luxated into the vitreous cavity due to ocular trauma. The patient underwent a pars plana vitrectomy with the IOL resuturation to the sclera. Seven years later, a spontaneous vision loss in the right eye was caused by a retinal detachment. The pars plana vitrectomy with silicone oil tamponade and a consequential oil removal three months later were performed in 2018. The follow-up examination revealed recurrent IOL dislocation in the same eye. Due to a history of previous suture-related complications a decision was made to remove the subluxated rigid polymethyl-methacrylate (PMMA) IOL and fixate to sclera a sutureless SOLEKO FIL SSF Carlevale lens. The purpose of this report is to present a single case of a 36-year-old patient who was presented to the hospital with recurrent dislocation of the intraocular lens. In a three-month follow-up period, a good anatomical and functional outcome was finally obtained with transscleral sutureless intraocular lens. This lens is an option worth considering especially in a young patient with a long life expectancy and physically active.

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Retinotomy and retinectomy for anterior inferior proliferative vitreoretinopathy: Can visual outcome be improved?

European Journal of Ophthalmology ◽

10.1177/11206721211012848 ◽

2021 ◽

pp. 112067212110128

Author(s):

Mumin Hocaoglu ◽

Murat Karacorlu ◽

M. Giray Ersoz ◽

Isil Sayman Muslubas ◽

Serra Arf

Keyword(s):

Proliferative Vitreoretinopathy ◽

Rhegmatogenous Retinal Detachment ◽

Silicone Oil ◽

Clinical Stage ◽

Case Series ◽

Visual Outcome ◽

Attachment Rate ◽

Good Visual Outcome ◽

The Mean

Purpose: To describe the treatment outcomes and prognostic factors of retinotomy/retinectomy for rhegmatogenous retinal detachment (RD) complicated anterior inferior proliferative vitreoretinopathy (PVR). Methods: Retrospective, nonrandomized, single-center case series. The outcomes of 126 cases of retinotomy/retinectomy for RD complicated by advanced (Grade C) anterior inferior PVR managed consistently by one surgeon during a 15-year period were evaluated. Results: Forty-two eyes (33%) had primary RDs and 84 (67%) had recurrent RDs. The extent of retinotomy/retinectomy varied: 90° in 21 eyes (17%), >90° to <180° in 49 eyes (39%), and ⩾180° to ⩽240° in 56 eyes (44%). The retinotomy/retinectomy location was peripheral in 58 eyes (46%) and equatorial in 68 eyes (54%). The mean follow-up period was 43 ± 42 months. The silicone oil (SO) was removed from 98% of the eyes. The single-operation success rate after the primary retinectomy was 87%, and the final attachment rate was 94%. Visual acuity improved from 20/630 to 20/160 ( p < 0.001). Vision ⩾20/200 was achieved in 101 eyes (80%). Good visual outcome was correlated positively with preoperative VA ( p = 0.02), previous vitrectomy with gas tamponade ( p = 0.007), and was negatively correlated with number of previous RD operations ( p = 0.01), larger extent of RD ( p = 0.02) and more extensive retinotomy/retinectomy ( p = 0.04). Conclusions: An appropriate and timely intervention, including vitrectomy alone, inferior relaxing retinotomy/retinectomy and standard SO tamponade provide satisfactory outcomes for RDs complicated by PVR. Lesser extension of grade C PVR at baseline, such as PVR limited to one quadrant should encourage vitreoretinal specialists to consider retinotomy/retinectomy at a milder clinical stage of PVR development.

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Phacoemulsification and Foldable Intraocular Lens Implantation in Eyes Filled With Silicone Oil

Ophthalmic Surgery Lasers and Imaging Retina ◽

10.3928/1542-8877-20030901-03 ◽

2003 ◽

Vol 34 (5) ◽

pp. 358-362

Author(s):

Hakan F Öner ◽

Ismet Durak ◽

Osman A Saatci

Keyword(s):

Intraocular Lens ◽

Silicone Oil ◽

Intraocular Lens Implantation ◽

Lens Implantation

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Results and Complications after Implantation of a Black Iris-Lens Diaphragm in Patients with Traumatically Induced Aphakia and Aniridia

European Journal of Ophthalmology ◽

10.5301/ejo.2011.6484 ◽

2011 ◽

Vol 21 (6) ◽

pp. 754-759 ◽

Cited By ~ 5

Author(s):

Vasileios Petousis ◽

Lothar Krause ◽

Gregor Willerding ◽

Michael H. Foerster ◽

Nikolaos E. Bechrakis

Keyword(s):

Anterior Chamber ◽

Surgical Repair ◽

Silicone Oil ◽

Case Series ◽

Corrected Visual Acuity ◽

Time Out ◽

Anatomic Results ◽

The Mean ◽

Positive Effect

Purpose. The black iris-lens diaphragm (ILD) can be used in the treatment of traumatic aniridia and aphakia. The aim of our study was to show postoperative functional and anatomic results and complications in a small case series. Methods. We retrospectively analyzed the files of 16 patients managed with a black ILD or a sole iris diaphragm in the period 1994–2007. Four of them were female and 12 were male. The mean age of the group was 50±17 years. At the time of the implantation, all of the eyes had already undergone primary surgical repair. Results. The preoperative best-corrected visual acuity in half of the patients was ≥0.1 and remained stable after the first postoperative year. During the follow-up years, one eye developed a subluxation of the implant and one eye an anterior chamber hemorrhage. At the same time, out of 8 eyes carrying a silicone tamponade in the vitreous cavity, silicone oil entered the anterior chamber in 3 cases. In one case, enucleation was undertaken due to phthisis. Conclusions. In the case of severely traumatized eyes with aniridia and aphakia, the implantation of a black ILD can have a positive effect on functional and anatomic stabilization.

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Removal of Silicone Oil From Intraocular Lens Using Novel Surgical Materials

Translational Vision Science & Technology ◽

10.1167/tvst.3.5.4 ◽

2014 ◽

Vol 3 (5) ◽

pp. 4 ◽

Cited By ~ 3

Author(s):

Eleftherios I. Paschalis ◽

Dean Eliott ◽

Demetrios G. Vavvas

Keyword(s):

Intraocular Lens ◽

Silicone Oil

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Sutureless 25-Gauge Pars Plana Vitrectomy Combined with Retropupillary Fixation of an Iris-Claw Intraocular Lens

Case Reports in Ophthalmology ◽

10.1159/000448943 ◽

2016 ◽

Vol 7 (3) ◽

pp. 433-439

Author(s):

Spyridon E. Chalkiadakis ◽

Efstratios A. Parikakis ◽

Simon R.J. Taylor

Keyword(s):

Intraocular Lens ◽

Pars Plana Vitrectomy ◽

Case Series ◽

Visual Rehabilitation ◽

Aesthetic Result ◽

Viable Solution ◽

Pars Plana ◽

Real Challenge ◽

Operating Surgeon ◽

Iris Claw

Background: The surgical case of a dropped intraocular lens inside the vitreous cavity constitutes a real challenge for the operating surgeon. Herein, we describe a case series where an alternative optical rehabilitation technique for late intraocular lens-bag complex dislocation has been used. Methods: A modern vitrectomy device was used to remove the capsule with the dropped intraocular lens using sutureless 25-gauge pars plana vitrectomy. To ensure a better aesthetic result, with faster patient recovery and a reduced number of operations, the whole procedure was performed during the same operating session; an iris-claw intraocular lens for aphakia was selected for implantation. The implant was passed behind the constricted iris with the concave surface facing it. The lens was grasped with the manufacturer’s holding forceps and fixed onto the posterior surface of the iris using the special enclavation needles. Results: We have operated 12 eyes in two different clinical centres successfully, with minimal intra- and/or postoperative complications. Conclusion: We believe that this is a viable solution for the visual rehabilitation of patients, who would otherwise need more than one operation for a lens exchange.

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