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) |
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Pages (from-to) | 495-504 |
Number of pages | 10 |
Journal | Ophthalmology |
Volume | 94 |
Issue number | 5 |
DOIs | |
State | Published - 1987 |
Keywords
- complication
- extracapsular cataract extraction
- intraocular lens
- myopia
- phacoemulsification
- retinal detachment
ASJC Scopus subject areas
- Ophthalmology