Retinal Detachment after Extracapsular Cataract Extraction with Posterior Chamber Intraocular Lens

Patricia W. Smith; Walter J. Stark; A. Edward Maumenee; Cheryl L. Enger; Ronald G. Michels; Bert M. Glaser; Roger D. Bonham

doi:10.1016/S0161-6420(87)33418-9

Retinal Detachment after Extracapsular Cataract Extraction with Posterior Chamber Intraocular Lens

Patricia W. Smith, Walter J. Stark, A. Edward Maumenee, Cheryl L. Enger, Ronald G. Michels, Bert M. Glaser, Roger D. Bonham

School of Medicine

Research output: Contribution to journal › Article

Abstract

The authors reviewed 3065 consecutive cases of extracapsular cataract extraction with posterior chamber lens implant (ECCE-PC IOL) and found the incidence of retinal detachment to be 1.4% overall (44/3065) and 1.7% in a group of eyes followed for at least 1 year (40/2330). Retrospective analysis of the retinal detachment (RD) group (n = 44) showed the patients to be significantly younger than the overall group (n = 3065) (P < 0.0001). Comparison with an age-matched group of 302 eyes without RD showed higher rates of RD in males (P = 0.0013) and in eyes with axial eye length (AEL) greater than 25 mm (P < 0.0001). No significant correlation was found between RD and PC IOL manufacturer, phacoemulsification (PKE), or primary discission. Sixtyfour percent of RDs occurred within 1 year of cataract operation. Only 10% occurred more than 2 years later. Visual results in eyes with ultimate anatomic success of RD repair (43 of 44 eyes, averaging 15 months follow-up) are substantially better than previously reported in series with other types of IOLs (96% ≤ 20/40 if the macula was not involved, 75% ≤ 20/40 if the macula was involved).

Original language	English (US)
Pages (from-to)	495-504
Number of pages	10
Journal	Ophthalmology
Volume	94
Issue number	5
DOIs	https://doi.org/10.1016/S0161-6420(87)33418-9
State	Published - Jan 1 1987

Keywords

complication
extracapsular cataract extraction
intraocular lens
myopia
phacoemulsification
retinal detachment

ASJC Scopus subject areas

Ophthalmology

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Smith, P. W., Stark, W. J., Maumenee, A. E., Enger, C. L., Michels, R. G., Glaser, B. M., & Bonham, R. D. (1987). Retinal Detachment after Extracapsular Cataract Extraction with Posterior Chamber Intraocular Lens. Ophthalmology, 94(5), 495-504. https://doi.org/10.1016/S0161-6420(87)33418-9

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abstract = "The authors reviewed 3065 consecutive cases of extracapsular cataract extraction with posterior chamber lens implant (ECCE-PC IOL) and found the incidence of retinal detachment to be 1.4% overall (44/3065) and 1.7% in a group of eyes followed for at least 1 year (40/2330). Retrospective analysis of the retinal detachment (RD) group (n = 44) showed the patients to be significantly younger than the overall group (n = 3065) (P < 0.0001). Comparison with an age-matched group of 302 eyes without RD showed higher rates of RD in males (P = 0.0013) and in eyes with axial eye length (AEL) greater than 25 mm (P < 0.0001). No significant correlation was found between RD and PC IOL manufacturer, phacoemulsification (PKE), or primary discission. Sixtyfour percent of RDs occurred within 1 year of cataract operation. Only 10% occurred more than 2 years later. Visual results in eyes with ultimate anatomic success of RD repair (43 of 44 eyes, averaging 15 months follow-up) are substantially better than previously reported in series with other types of IOLs (96% ≤ 20/40 if the macula was not involved, 75% ≤ 20/40 if the macula was involved).",

keywords = "complication, extracapsular cataract extraction, intraocular lens, myopia, phacoemulsification, retinal detachment",

author = "Smith, {Patricia W.} and Stark, {Walter J.} and Maumenee, {A. Edward} and Enger, {Cheryl L.} and Michels, {Ronald G.} and Glaser, {Bert M.} and Bonham, {Roger D.}",

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AU - Enger, Cheryl L.

AU - Michels, Ronald G.

AU - Glaser, Bert M.

AU - Bonham, Roger D.

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AB - The authors reviewed 3065 consecutive cases of extracapsular cataract extraction with posterior chamber lens implant (ECCE-PC IOL) and found the incidence of retinal detachment to be 1.4% overall (44/3065) and 1.7% in a group of eyes followed for at least 1 year (40/2330). Retrospective analysis of the retinal detachment (RD) group (n = 44) showed the patients to be significantly younger than the overall group (n = 3065) (P < 0.0001). Comparison with an age-matched group of 302 eyes without RD showed higher rates of RD in males (P = 0.0013) and in eyes with axial eye length (AEL) greater than 25 mm (P < 0.0001). No significant correlation was found between RD and PC IOL manufacturer, phacoemulsification (PKE), or primary discission. Sixtyfour percent of RDs occurred within 1 year of cataract operation. Only 10% occurred more than 2 years later. Visual results in eyes with ultimate anatomic success of RD repair (43 of 44 eyes, averaging 15 months follow-up) are substantially better than previously reported in series with other types of IOLs (96% ≤ 20/40 if the macula was not involved, 75% ≤ 20/40 if the macula was involved).

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KW - myopia

KW - phacoemulsification

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