AIM: To compare the safety between phacoemulsification and manual small incision cataract surgery ( MSICS ) combined with silicone oil removal in previously vitrectomized eyes.?METHODS:A retrospective comparative no-inferiority study to 162 patients ( 162 eyes ) who undergone cataract surgery, either phacoemulsification or MSICS combined with silicone oil removal which had pars plana vitrectomy.?RESULTS:There were no statistically significant different in hypotony between phacoemulsification group ( 21 patients;18. 91％) and MSICS group (8 patients;15. 68％) (P= 0. 666). There was also no statistically significant different between two group in 1mo retinal reattachment rate;8 patients (7. 2％) in phacoemulsification group had redetachment compared with 9 patients ( 17. 64％) in MSICS combined with silicone oil removal group ( P =0. 055).? CONCLUSION: MSICS combined with silicone oil removal has non-inferiority result to phacoemulsification combined with silicone oil removal in hypotony, leakage, choroidal detachment and retinal reattachment rate.

Since coronavirus disease 2019 was declared a global pandemic by the World Health Organization, it has become a challenging situation to continue medical education, including in Indonesia. The situation prohibited face-to-face (direct) educational activities in clinical settings, therefore also postponing examinations involving especially procedural skills. Adaptations were urgently needed to maintain the delivery of high-stake examinations to sustain the number of ophthalmology graduates and the continuation of eye health service. Objective structured clinical examination (OSCE) has been one of our widely used method to assess clinical competencies for ophthalmology residents, and is the one method that involves gatherings, close contact of examiners, examinees and patients, therefore the most difficult to adjust. Pandemic challenges brought technical changes in our delivering the OSCE to online, maximizing digital platforms of meetings, while still concerned to guarding the safety of candidates, patients and staffs. OSCE scenarios were also made as timely efficient as possible by changing continuous station models to a cascade one. The purpose of this article is to document our experience in conducting a feasible and reproducible OSCE in this pandemic era filled with limitations.