Bilińska Ewa, Nawrocki Jerzy
Katedry i Kliniki Chorób Oczu Akademii Medycznej w Łodzi.
Klin Oczna. 2003;105(1-2):17-20.
To evaluate the results of cataract surgery in eyes after silicone oil removal and comparison of surgical technics.
Eighty-four eyes of 80 patients underwent cataract extraction and IOL implantation after vitrectomy with silicone oil, after its removal. In 50 eyes of group A cataract surgery was performed using the ECCE procedure, in 20 eyes of group B-phacoemulsification was done and in 14 eyes of group C cataract surgery was performed simultaneously with silicone oil removal. Ten eyes of the control group K underwent cataract extraction without IOL implantation. The follow-up was 15.5 +/- 11.2 months.
Visual acuity of 6/60 or better was achieved in 65% of eyes. Statistically significant improvement in visual acuity was observed after cataract surgery, compared to the results after vitrectomy in the study group and in the control group. The most frequent complication was posterior capsule opacification, which occurred in 47 eyes (54.6%).
Cataract surgery and IOL implantation in eyes after vitrectomy with silicone oil is safe and achieved visual acuity is similar or better, than before cataract formation. The usefulness of combined cataract surgery and silicone oil removal requires further studies.
