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Abstract
Removal of silicone oil can be combined with phacoemulsification.
There are various techniques of combined phacoemulsification and silicone oil removal.
This study included 40 eyes with cataract associated with silicone oil. Patients were divided into two groups: Group A: includes 20 eyes in which phacoemulsification was done combined with silicone oil evacuation through the pars plana approach.
Group B: includes 20 eyes in which phacoemulsification was combined with silicone oil removal through transpupillary approach and anterior limbal incision.
The aim of this work is to compare between two methods of silicone oil evacuation as regards the effect on corneal endothelium, the rate of
recurrence of retinal detachment after silicone oil evacuation as well as other posterior segment complications, and the presence of residual silicone oil droplets.
It was noted that the corneal endothelium was affected more in group B in which silicone oil comes in contact with the corneal endothelium.
The rate and the timing of retinal redetachment following surgery was not related to the method of silicone oil evacuation.