Silicone oil adherence to IOLs after oil removal is a known complication in pseudophakic patients. Droplet removal is difficult and may require IOL exchange. There are cases in which silicone oil droplets were observed early in the postoperative period in polymethylmethacrylate (PMMA) pseudophakic eyes and disappeared during silicone oil-fluid exchange--a phenomenon that has not been reported earlier in human PMMA pseudophakic eyes. Different techniques have been used for removal of silicone oil.

In one of these techniques, silicone oil is removed from clear corneal incision in aphakic patients who underwent combined lensectomy and vitrectomy with silicone tamponade. In this method, silicone oil can be removed easily and simply under topical anesthesia. For visual rehabilitation in aphakic patients, IOL implantation is preferred rather than glasses or contact lens. In aphakic patients…