[Recommendation for lens implantation following vitreoretinal silicone oil surgery]

The occurrence of silicone oil-induced cataract following vitreoretinal silicone oil surgery is an unavoidable complication due the metabolic changes. Following extracapsular cataract extraction, extreme fibrosis und shrinkage of the posterior lens capsule was observed in 7 cases when the oil was left in situ. A new procedure was therefore evolved for correcting refraction following vitreoretinal silicone oil surgery. During vitreoretinal surgery, intracapsular cataract extraction is performed or the pseudophakos is removed. When all retinal interventions have been completed, and at the earliest 3 months after silicone oil removal, anterior lens implantation is performed provided the retina is stable.