Epidemiology of retinal detachment following extracapsular cataract extraction: A follow-up study with an analysis of risk factors

Abstract

We reviewed the medical records of 1,726 eyes consecutively operated on with extracapsular cataract extraction to examine the incidence of and the risk factors for retinal detachment (RD). In Denmark, both diagnoses and deaths are registered centrally; therefore, a complete follow-up was achieved in each case and actuarial statistical methods were used in the risk assessment. Seven eyes (0.41%) developed RD and 345 eyes (20.0%) had YAG-laser capsulotomy in the observation period, which averaged 39 months. We identified the following risk factors for RD: age less than 70 years at the time of surgery, intraoperative complications, axial length > or = 25 mm. Nonsignificant factors included male gender and postoperative complications. One eye (0.29%) developed RD following YAG-laser capsulotomy. We concluded that the high risk of RD is concentrated in a small group of myopic patients who have cataract surgery when they are less than 70 years of age. Our results do not suggest a causal relationship between YAG-laser capsulotomy and subsequent RD.

Vitreous surgery for macular hole-related retinal detachment after phacoemulsification cataract extraction: 10-year retrospective review

“…RD is one of the most significant and severe events that can occur after all forms of cataract surgery, including phacoemulsification. [16][17][18][19][20][21][22] Our previous study reported a 0.073% incidence of MHRD postphacoemulsification and IOL implantation in an unselected group of patients, 3 which is much lower than the 0.7% incidence of non-MHRD after cataract surgery by phacoemulsification according to a previous report by Ramos et al 23 All patients had metamorphopsia or sudden decreased central vision 9-74 months out after cataract surgery. Although 8 eyes had peripheral holes, we had not found any peripheral holes by routine fundus examination after cataract surgery and considered them as atrophic retinal holes, which are usually asymptomatic and do not progress to retinal detachment.…”

Retinal detachment following intracapsular cataract extraction. A 10‐year follow‐up study

“…The reported risk factors were identical to those already mentioned for the intracapsular approach with the addition of ''capsulotomy'' and ''open posterior capsule''. In their own study Nielsen and Naeser (1993) observed a 0.41% incidence of RD with the risk factors ''age below 70 at the time of surgery'' and ''intraoperative complications'' during a 39 month follow-up. Sørensen and Baggesen (1990) found a 1.3% incidence of RD among 8350 eyes operated on with ICCE, while Ninn-Pedersen and Bauer (1996) observed a 0.71% risk among 5878 eyes operated on with ECCE or phakoemulcification.…”

“…Significant risk factors for RD were ''age below 70 at the time of surgery'' and ''myopia''. Nielsen & Naeser (1993) reviewed earlier papers over RD following ECCE; in studies published between 1985 and 1992 incidences of RD between 0.33 and 1.70% were reported. The reported risk factors were identical to those already mentioned for the intracapsular approach with the addition of ''capsulotomy'' and ''open posterior capsule''.…”

Functional and anatomical outcomes of vitreoretinal surgery for posterior segment complications after elective cataract surgery

“…More than 1 surgical intervention may be required in more complex situations, such as bacterial endophthalmitis, early postoperative RD, or choroidal hemorrhage. [13][14][15][16][17][18][19][20][21][22] Following retention of lens fragments and associated problems, RD is the most common complication of cataract surgery. In the present study, approximately 85% of patients with RD had prolapse of the vitreous that was not treated during cataract surgery.…”