Complications of cataract surgery in eyes filled with silicone oil

Kanclerz, Piotr; Grzybowski, Andrzej; Schwartz, Stephen G.; Lipowski, Paweł

doi:10.1177/1120672117753700

Cited by 13 publications

(10 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The surgeon may encounter increased zonular weakness and instability, posterior lens capsular weakness and mobility, and reduced vitreal cavity mechanical support 18,20‐22 . Additionally, SiO buoyancy may lead to posterior lens capsular elevation, additional anterior lens capsular instability, and increased risk of posterior lens capsular rupture 18 . In the author's experience, similar findings are noted during cataract surgery in canine eyes filled with SiO.…”

Section: Discussionmentioning

confidence: 61%

“…Cataract formation or progression is among the most common complications after posterior segment surgery in humans and dogs 1,8 . In phakic human eyes, cataracts are a known complication after RR and SiO tamponade 8,9,17‐22 . Cataract formation after posterior segment surgery is reported in up to 80% of humans within two years postoperatively, and cataract removal is performed an average of 13 to 20 months postoperatively 20,22,23 .…”

Section: Discussionmentioning

confidence: 99%

“…In human eyes containing SiO and undergoing cataract surgery, lens capsular opacities, posterior lens capsular rupture, SiO migration into the anterior chamber, and lens capsular instability are also reported 18 . The surgeon may encounter increased zonular weakness and instability, posterior lens capsular weakness and mobility, and reduced vitreal cavity mechanical support 18,20‐22 . Additionally, SiO buoyancy may lead to posterior lens capsular elevation, additional anterior lens capsular instability, and increased risk of posterior lens capsular rupture 18 .…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Intraoperative findings and postoperative results associated with cataract surgery performed after retinal reattachment surgery in dogs—36 cases (41 eyes)

Hartrum

Nadelstein

Mancuso

2021

Veterinary Ophthalmology

View full text Add to dashboard Cite

Objective To report intraoperative findings and complications associated with cataract surgery performed after retinal reattachment surgery (RR) via pars plana vitrectomy (PPV) using perfluoro‐n‐octane (PFO), laser retinopexy, and silicone oil tamponade in dogs. Animals Studied Retrospective record review of dogs that underwent post‐RR cataract surgery. Signalment, time between RR and cataract surgery, type of lens extraction, postoperative visual status, and intra‐ and postoperative complications were recorded. Cataract formation or progression after RR was categorized as early (≤12 months) or late (>12 months). Results A total of 36 dogs (41 eyes) were included. Average time between RR and cataract surgery was 665 days (median: 546). Early postoperative incidence of cataracts occurred in 19 eyes (46.3%). Types of lens extraction included phacoemulsification with intraocular lens (86.1%, 31/36 dogs), phacoemulsification alone (11.1%, 4/36 dogs), and intracapsular lens extraction (2.8%, 1/36 dogs). Visual improvement occurred in 95.1% of eyes (39/41) immediately postoperatively. Long term, 93.9% of eyes (31/33) maintained vision at 1 month, 85.2% of eyes (23/27) at 3 months, 77.3% of eyes (17/22) at 6 months, and 60% (12/20) at 12 months postoperatively. The most common postoperative complications were glaucoma (29.3%, 12/41 eyes), corneal ulceration (24.4%, 10/36 eyes), fibrin formation (21.9%, 9/41 eyes), and silicone oil migration into the anterior chamber (19.5%, 8/41 eyes). Conclusion Post‐RR cataract surgery should be considered in dogs with vision loss from cataracts after RR. In most eyes, vision was maintained up to 1 year postoperatively.

show abstract

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intraoperative findings and postoperative results associated with cataract surgery performed after retinal reattachment surgery in dogs—36 cases (41 eyes)

Hartrum

Nadelstein

Mancuso

2021

Veterinary Ophthalmology

View full text Add to dashboard Cite

show abstract

“…e prevalence of posterior capsule rupture (PCR) in nonvitrectomized eyes is 1.92 to 3.5% [7]. In contrast, the reported rates of PCR in vitrectomized eyes were up to 13.3%, accompanied with a higher rate of zonular dialysis, dropped nuclear fragments, and choroidal exudation [3,4,6,8,9]. e situation is relevant to anatomical changes of a vitrectomized eye that shows reduced vitreous gel support, possibly with defective zonular apparatus, and an impaired or fibrotic lens capsule [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Intraoperative Posterior Chamber Irrigation to Enhance Vitreous Cavity Support during Phacoemulsification Cataract Surgery after Vitrectomy

Lyu

Zhao

2020

Journal of Ophthalmology

View full text Add to dashboard Cite

is properly cited.Purpose. To report the effectiveness of an intraoperative posterior chamber irrigation technique to enhance vitreous cavity support during postvitrectomy phacoemulsification cataract surgery. Methods. e irrigation technique was performed during phacoemulsification cataract surgery on 10 postvitrectomy eyes (9 patients) with moderate or hard density cataracts and with low vitreous cavity support. A cohesive viscoelastic tamponade was applied to pressurize the anterior chamber to start the procedure. e vitreous cavity was then irrigated using a 26-gauge flushing cannula injecting balanced salt solution under the iris through the zonules, until the vitreous cavity pressure balanced and exceeded the anterior chamber pressure and viscoelastic flowed out from the corneal incision. Intraoperative performance with the irrigation technique, postoperative visual acuity, and anatomy, and complications were retrospectively evaluated. Results. e irrigation procedure instantly enhanced posterior segment pressure before capsulorhexis in 4 eyes, before phacoemulsification in 4 eyes, after phacoemulsification in 2 eyes, before intraocular lens implantation in 6 eyes, and after implantation in 3 eyes. Phacoemulsification cataract surgery was facilitated by the irrigation technique, with a stabilized anterior chamber and robust vitreous cavity support. No complications occurred intraoperatively and postoperatively. At a 3-month follow-up, favorable visual and anatomic outcomes were achieved in all eyes. Conclusions. e irrigation technique balanced the pressure of anterior and posterior segments. us, vitreous cavity support and anterior chamber depth were well stabilized during phacoemulsification cataract surgery in postvitrectomy eyes.

show abstract

“…PCS can be performed while leaving the SO in place [8]. This study evaluated the refractive outcome of biometry in eyes filled with SO undergoing PCS.…”

mentioning

confidence: 99%

Refractive outcome of cataract surgery in eyes filled with silicone oil

Kanclerz

Leisser

Grzybowski

et al. 2019

Preprint

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Complications of cataract surgery in eyes filled with silicone oil

Cited by 13 publications

References 20 publications

Intraoperative findings and postoperative results associated with cataract surgery performed after retinal reattachment surgery in dogs—36 cases (41 eyes)

Intraoperative findings and postoperative results associated with cataract surgery performed after retinal reattachment surgery in dogs—36 cases (41 eyes)

Intraoperative Posterior Chamber Irrigation to Enhance Vitreous Cavity Support during Phacoemulsification Cataract Surgery after Vitrectomy

Refractive outcome of cataract surgery in eyes filled with silicone oil

Contact Info

Product

Resources

About