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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)495-504
Number of pages10
JournalOphthalmology
Volume94
Issue number5
DOIs
StatePublished - Jan 1 1987

Keywords

  • complication
  • extracapsular cataract extraction
  • intraocular lens
  • myopia
  • phacoemulsification
  • retinal detachment

ASJC Scopus subject areas

  • Ophthalmology

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  • Cite this

    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