The efficacy of removal of residual silicone oil droplet with posterior lens capsulotomy

Objective To evaluate the safety and efficacy of removal of residual silicone oil droplet with posterior lens capsulotomy. Methods A retrospective study. Total 12 eyes of 12 consecutive patients with residual silicone oil droplet after silicone oil removal from Aug. 2013 to Apr. 2019 were collected in Fujian provincial hospital. There were 10 eyes received posterior lens capsulotomy combined with phacoemulsification, and 2 eyes received posterior lens capsulotomy combined with secondary intraocular lens implantation. The intra-operative complications, postoperative silicone oil droplet residual rate, best corrected visual acuity, intraocular pressure, anterior segment and fundus examination were observed. Results The patients were followed up for 1-69 months. Postoperative visual disturbance symptoms and the best corrected visual acuity were ameliorated in all patients. The visual acuity at the last follow up was 0.3 in 5 eyes (41.7%) and ≥0.5 in 3 eyes (25.0%). No postoperative complication such as increased intraocular pressure, retinal detachment or choroidal detachment occurred. The intraocular lens position were stable during the follow-up period. Conclusion It is a simple, safe and effective way to remove silicone oil droplet with posterior lens capsulotomy. Key words: Capsulotomy, posterior capsule, lens; Phacoemulsification, ultrasonic, lens; Implantation, lens, intraocular