Retinal detachment after cataract surgery. Predisposing factors.

Abstract:

:The authors studied the characteristics of 376 eyes of 361 patients with primary retinal detachment (RD) and surgical aphakia (103 eyes) or pseudophakia (273 eyes). Of the pseudophakic eyes, 17 had an iris-fixated intraocular lens (IOL), 111 had an anterior chamber (AC) IOL, and 145 had a posterior chamber (PC) IOL. Of the PC IOL cases, 48 (33%) had undergone YAG capsulotomy, and 46% of them developed RD within 6 months after capsulotomy. The frequency of no breaks found in pseudophakic RD (15%) was significantly higher than in RD with simple aphakia (5%). The most frequent reasons were incomplete fundus view due to a small pupil in the iris-fixated (83%) and the AC (44%) groups, and cloudiness of capsular remnants in the PC group (78%). In pseudophakic RD, sizable single tears, located more posteriorly than in RD with simple aphakia, were frequent. The authors speculate that in pseudophakic RD the retinal breaks may resemble those noted in phakic RD.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Yoshida A,Ogasawara H,Jalkh AE,Sanders RJ,McMeel JW,Schepens CL

doi

10.1016/s0161-6420(92)31953-0

subject

Has Abstract

pub_date

1992-03-01 00:00:00

pages

453-9

issue

3

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(92)31953-0

journal_volume

99

pub_type

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