[Cataract surgery using silicone oil and its elimination via posterior capsulorhexis]

Elimination of silicone oil after a previous vitreoretinal operation is a routine procedure. This procedure is frequently associated with a complicated cataract operation. The standard procedure of oil elimination in one or two stages assumes repeated sclerotomy. Contemporary findings and the authors' experience indicate the risk of the site of sclerotomy. The authors draw attention to a modification of silicone oil elimination while operating the cataract by posterior capsulorhexy which makes it possible to remove the intraocular tamponade without sclerotomy and to implement at the same time peroperative control of the posterior pole. the technique of elimination of silicone via posterior capsulorhexy makes a perfect peroperative check-up of the state of the posterior eye possible it makes it possible to leave the silicone in the eye if it is necessary to prolong the tamponade of the retina it reduces the risk of complications of further sclerotomy it makes reconstruction of the eye by a single operation possible and reduces thus the traumatization of the eye and the patient.