The risk of retinal detachment in high myopia after small incision coaxial phacoemulsification.

Abstract:

PURPOSE:Report incidence and risk of retinal detachment (RD)after coaxial phacoemulsification in high myopic patients. DESIGN:Retrospective consecutive interventional study. METHODS: SETTING:Vissum-Instituto Oftalmologico de Alicante, Spain. PATIENT OR STUDY POPULATION: A total of 439 eyes from 274 high myopic patients with spherical equivalent (SE) >or= 6.00 diopters (D) or axial length >or= 26.00 mm. Mean age 62.2, axial length 27.88 +/- 2.11 mm (26.0 mm to 37.9 mm), SE -13.3 +/- 5.6 (-6.00 D to -46.0 D). MAIN OUTCOME MEASURES:Incidence of RD, vitreous loss, and neodymium yttrium aluminum garnet (Nd:YAG) capsulotomy were evaluated after surgery at one, three, six, and 12 months then annually with mean follow-up 61.5 +/- 29.6 months. RESULTS:Incidence of RD was 2.7% (12/439 eyes). In eyes with 50 years of age was 2.52% (nine eyes). Cumulative risk of RD development by Kaplan-Meier analysis in all patients was 0.47%, 0.71%, 1.71%, 2.59%, and 3.28% at three, six, 15, 48, and 63 months until 105 months, respectively. In eyes 50 years of age was 0.58% and 2.96% at six and 52 months until 118 months after cataract surgery, respectively. No significant correlation was found between the occurrence of RD and vitreous loss (P

journal_name

Am J Ophthalmol

authors

Alio JL,Ruiz-Moreno JM,Shabayek MH,Lugo FL,Abd El Rahman AM

doi

10.1016/j.ajo.2007.03.043

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

93-98

issue

1

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(07)00326-1

journal_volume

144

pub_type

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