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Phacoemulsification combined with silicone oil removal through posterior capsulorhexis
  1. CHRISTINA J FLAXEL,
  2. GENEVIEVE LARKIN,
  3. PETER LEAVER
  1. USC, Keck School of Medicine, Department of Ophthalmology, University of Southern California, Doheny Eye Institute, Los Angeles, CA 90033, USA

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    Editor,—We read with interest the report by Frauet al and noted that our recent article inOphthalmology was not cited as a reference.2 In this article we reported our experience at Moorfields Eye Hospital with 34 eyes prospectively evaluated to look at the efficacy and potential complications of combined cataract extraction and silicone oil removal with posterior chamber lens implantation. We also reported the method of Restori, ophthalmic ultrasound specialist at Moorfields Eye Hospital, for calculating the IOL power in an oil filled eye with correction for the specific gravity of silicone oil taken into consideration. Our findings were that the procedure was safe and effective for these eyes that had often had many previous surgeries. The visual outcome in these eyes was generally good with improvement in visual acuity, even with recurrent retinal detachment or pre-existing macular pathology. We also concluded that it was safer to place a rigid posterior chamber implant after silicone oil removal due to potential contraction of the anterior capsule limiting the view of the retina postoperatively. Our technique was a passive technique but might easily be done with the I/A handpiece as this group reported. We feel that it would have been appropriate for them to make reference to our study since it presents a much larger series with more detailed follow up.

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