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Time course of development of posterior vitreous detachments after phacoemulsification surgery.

Abstract：

PURPOSE:To determine when posterior vitreous detachments (PVDs) develop after phacoemulsification and aspiration combined with foldable intraocular lens implantation. DESIGN:Prospective, consecutive case series. PARTICIPANTS:A total of 575 eyes without a PVD preoperatively were studied prospectively and followed for 3 years after uneventful phacoemulsification surgery. METHODS:All patients underwent a comprehensive ocular examination, including a dynamic vitreous examination using biomicroscopy with and without a preset lens and a preoperative retinal examination on the day of surgery; the day postoperatively; 1 week and 1, 3, 6, and 12 months postoperatively; and every 6 months for 3 years postoperatively. The patients were divided into groups and analyzed on the basis of age and refractive error or axial length. MAIN OUTCOME MEASURES:The cumulative incidence rates of eyes that developed PVD for 3 years postoperatively at each postoperative time point. RESULTS:The cumulative numbers and percentages of eyes that developed a PVD were 6 (1.0%), 18 (3.1%), 31 (5.4%), 45 (7.8%), 63 (11.0%), 88 (15.3%), 106 (18.4%), 133 (23.1%), and 172 (30.0%) within 1 week and 1, 3, 6, 12, 18, 24, 30, and 36 months, respectively. Eleven (6.4%) of the 172 eyes in which a PVD developed during the follow-up period had new retinal breaks with or without a retinal detachment. Eight (15.4%) of 52 eyes with lattice degeneration and 3 (2.5%) of 120 eyes without lattice degeneration had retinal breaks associated with a PVD; these percentages were significant (P = 0.003). CONCLUSIONS:Development of PVDs seems to accelerate after phacoemulsification and linearly accumulated for 3 years postoperatively. Approximately 6% of eyes with a PVD had retinal breaks and eyes with lattice degeneration had a 6.2-fold higher risk of developing retinal breaks associated with a PVD. Long-term follow-up is needed after phacoemulsification is performed.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Hikichi T

doi

10.1016/j.ophtha.2012.03.050

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

2102-7

issue

10

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(12)00318-1

journal_volume

119

pub_type

杂志文章

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