Analytical study of silicon oil removal with cataract surgery after vitrectomy

Objectives: This study evaluates outcomes of combined silicone oil removal (SOR) and phacoemulsification in 34 eyes of patients with complicated cataracts following pars plana vitrectomy (PPV) for retinal detachment (RD). Materials and Methods: This retrospective study, conducted for 2 years, reviewed 34 patients who underwent combined SOR cataract extraction and intraocular lens (IOL) implantation following PPV with silicone oil (SO) tamponade. Patients were selected based on criteria such as stable retinal attachment, significant cataract and prior vitrectomy performed at least 3 months earlier. Pre-operative and post-operative evaluations assessed visual acuity (VA), intraocular pressure (IOP) and complications. The outcome measures focused on the mean duration between procedures, the rate of retinal detachment (RD) and best-corrected VA (BCVA). Results: This study analysed 34 patients with a mean age of 52.18 years (range: 25–73 years), predominantly males (male-to-female ratio: 5.8:1). Tractional RD was the most frequent indication for prior vitrectomy and SO tamponade. The mean duration of SO tamponade was 8.1 months. Cataract progression was influenced by SO and prior surgical factors. Post-operative IOP fluctuations normalised within 6 weeks. Retinal attachment was achieved in 82.35% of patients, while 8.82% experienced retinal re-detachment. BCVA improved significantly in 32.35% of cases, with combined surgery facilitating faster visual recovery. Conclusion: Our study concluded that combined SOR and cataract surgery reduces interventions and accelerates recovery compared to two-stage procedures. A tailored approach, considering individual patient histories and pathologies, is recommended for streamlined recovery and improved outcomes in this complex patient population.