AIM:To explore the surgery of secondary glaucoma and cataract after silicone oil emulsification.

METHODS: Silicone oil removal combined with crystal phacoemulsification and intraocular lens implantation and trabeculectomy surgery was performed in secondary glaucoma and cataract after silicone oil emulsification. And the visual acuity, intraocular pressure, complications were analyzed between 7 days to 6 months after surgery.

RESULTS: All the operative eyes had varying degrees of silicone emulsion droplets residual. And visual acuity increased in 18(60%)eyes, decreased in 7(23.3%)eyes, without change in 5(16.7%)eyes. The numbers of patients at 1 week after surgery having normal intraocular pressure accounted for 25(83.3%)eyes, 5(16.7%)eyes were higher than normal. At 6 months after surgery, 28(93.3%)eyes of the patients had normal intraocular pressure, 2(6.7%)eyes higher than normal, and no corneal decompensation, intraocular lens shift or vitreous hemorrhage occurred.

CONCLUSION: Silicone oil removal combined with crystal phacoemulsification, and intraocular lens implantation and trabeculectomy surgery can effectively control the intraocular pressure and improve visual acuity in secondary glaucoma and cataract after silicone oil emulsification. The surgery is an effective and safe way on secondary glaucoma and cataract after silicone oil emulsification.