Silicone Oil Removal: The Anterior Approach

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Omar Barrada, MD, presents a diabetic patient with a retina detachment who underwent vitrectomy with silicone oil injection. The step-by-step video demonstrates how to simultaneously remove a cataract and silicone oil, both passively and actively, through a posterior capsulorhexis.

Posted: 3/07/2012

Silicone Oil Removal: The Anterior Approach

Omar Barrada, MD, presents a diabetic patient with a retina detachment who underwent vitrectomy with silicone oil injection. The step-by-step video demonstrates how to simultaneously remove a cataract and silicone oil, both passively and actively, through a posterior capsulorhexis.

Posted: 3/07/2012

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Comments

ashvin bafna

13 years ago

you can also make the initial nick take the cutter at low suction and very moderate cutting rate make very clean round rhexis without any risk

Omar Barrada

13 years ago

You're absoluterly right, it is a single piece acrylic IOL. The small posterior rhexis, in my opinion, is sufficient for removal of the oil and makes the "in the bag" IOL implantation more safe. The debate over if the the anterior or posterior approach for oil removal is better is a viable one, with each having it's own pros and cons.

SHALABH SINHA

13 years ago

Nice. I liked the small rhexis, not easy to fashion. But combined technique with no posterior segment viewing after completion of the surgery has its disadvantages. 25 / 23 MIVS allows multiple air fluid exchanges for ensuring all small bubbles of SO are removed and addition laser, or vitrectomy in the extreme periphery can be done. Injecting an IOL into the bag can sometimes tear the capsule with a PCC, IOL may fall behind. You have shown a single piece IOL, not three piece. A three piece IOL may be opened in the anterior chamber, and dialed over the anterior rhexis.