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Combined phacoemulsification and trans-posterior CCC silicone oil removal through a small corneal incision

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Session Details

Session Title: Combined Cataract Surgery Techniques. Surgical Devices

Session Date/Time: Saturday 05/09/2015 | 08:30-10:30

Paper Time: 09:18

Venue: Main Auditorium

First Author: : A.Ehnaidy LIBYA

Co Author(s): :                        

Abstract Details


to evaluate & ascertain the advantage of this technique using both anterior chamber & posterior chamber skills & it's influence on intraoperative & postoperative complications, the visual outcome in phacoemulsification & trans pupillary silicone oil removal through planned posterior curvilinear circular capsulorhexis.


Alwafa Eye Clinic Altayeb Eye Clinic,Libya Tripoli Eye Hospital, Libya


90 patients who operated for retinal detachment by the same surgeon using triport ppv + silicone oil injection underwent combined phacoemulsification & trans posterior ccc silicone oil removal by the same surgeon, 49 were females & 41 males. In 35 of the patients the cause of RD was rhegmatogenous, in 49 tractional RD of PDR, in 5 patients intraocular metallic FB & traumatic vitreous Hrge & macular hole with retinal detachment in one patient. The mean interval between PPV & PE with IOL implantation is 7 months, mean interval between PE & final exam 12 months, mean age 56 years.


Intraoperatively, nothing except in 6 patients there was posterior capsular plaque (fibrosis) where the post CCC was assisted by peeling of the plaques & the use of scissors, posterior capsular tear & extension of the posterior CCC occurred in 3 patients & in one of them the IOL implanted on anterior capsule & in the sulcus. postoperatively the BCVA improved in 95.6%, sterile fibrinous reaction in A/C occurred in 3 cases, no IOP rise except in 5 patients who had preoperative silicone induced high IOP, 4 of them controlled by medications & now they are under control without any medications, 1 patient still on treatment, in all cases no corneal decompensation seen, retinal redetachmant occurred in 2 patients ( 0.02%).


Combined phacoemulsification & trans-posterior CCC silicone oil removal through the same small corneal incision was found to be safe & the method of choice in cases of cataract with previous silicone oil injection with stable retina & in reducing the intraoperative & postoperative complications. . Combined phacoemulsification & Trans posterior CCC silicone oil removal through the same small corneal incision provides visual rehabilitation & avoid the risk of multiple surgeries. . retinal pathology influence the visual outcome

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