First Author: A.Mourgela GREECE
Co Author(s): K. Anastasikakis K. Manthos D. Kanioras P. Zotta E. Theodoridou K. Moschou
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To present an interesting case of heavy silicone oil extraction with 23g vitrectomy and simultaneous management of silicone oil complications.
Department of Vitreoretinal Surgery, 'Diathlasis' Day-Case Unit, Thessaloniki, Greece
A 35 year old male patient suffered a retinal redetachment complicated with intense proliferative vitreoretinopathy (PVR) and was managed with heavy silicone oil injection. 2 months later he developed a hypermature cataract, posterior iris synechiae, cystoid macular oedema and epiretinal membrane. The patient underwent phacoemulsification and lysis of the posterior synechiae combined with heavy silicone oil extraction and epiretinal membrane peeling with a 23g vitrectomy system.
Visual acuity improved to 0.5-0.6 Snellen postoperatively (compared to hand movement preoperatively). Complete resolution of the cystoid macular oedema was observed while the retina remained attached.
The use of heavy silicone oil results in the satisfactory management of complicated retinal detachement cases, but may be followed by significant complications.