AIM: To observe the clinical effect of micro-incision phacoemulsification combined with silicone oil removal from pars plana in eyes with silicone oil tamponade after vitrectomy.

METHODS: Forty-three patients(43 eyes)with cataract and silicone oiltamponade after vitrectomy underwent micro-coaxial phacoemulsification combined with silicone oil removal from pars plana between February 2013 and November 2013. Intraocular lens was implanted at stage I in all cases. The best corrected visual acuity was observed at 3mo after operation, and the complications were recorded.

RESULTS: The best corrected visual acuity in 39 cases(91%)was improved at 3mo after operation, and the best outcome was 0.6. There were still 4 cases(9%)without improvement of visual acuity. There was no incidence of complications such as posterior capsular rupture, residual silicone oil, corneal endothelial decompensation, hyphema, vitreous hemorrhage, intraocular lens dislocation, secondary glaucoma and ora serrata mutilation after operation in all patients.

CONCLUSION:Micro-invision phacoemulsification combined with silicone oil removal from pars plana is an effective and safe method for eyes with cataract and silicone oil tamponade after vitrectomy.