Ergebnisse der Pseudophakie-Amotio-Chirurgie

Abstract

Between 8/81 and 9/89 2658 patients underwent retinal detachment surgery at the university eye hospital Erlangen/Nürnberg. From this number there were 30 (= 1.1%) pseudophakic retinal detachments consisting of 14 males and 16 females. Minimal age was 48, maximal 89 years, average age was 70.9 years. There were 4479 extracapsular cataract extractions with implantation of a posterior chamber lens performed in the same interval at our eye hospital. Out of this 4479 extracapsular cataract extractions we found 9 patients (= 0.2%) with pseudophakic retinal detachment. In our investigated group we found preoperative risk factors resulting in a pseudophakic retinal detachment consisting out of myopia, latticelike degeneration of the retina and contusion bulbi. Intraoperative risk factors are the rupture of the posterior capsule and vitreous prolapse. A postoperative risk factor is YAG-laser-capsulotomy. We observed a pseudophakic retinal detachment with patients undergoing YAG-laser-capsulotomy after minimal 30, maximal 880 and 372 days in average. Out of 30 patients 17 (= 66.6%) were treated successfully with the first operation. The success rate summed up to 83.2% after one re-operation. With 17 out of 30 patients we had to apply extensive endoophthalmic vitreous and retinal surgical techniques (cerclage, pars-plana-vitrectomy, silicone oil instillation).

Primary Vitrectomy in Complicated Rhegmatogenous Retinal Detachment – A Survey of 205 Eyes

“…Although the SB technique can attach successfully more than 90% of the cases of RRD [1, 2, 3, 4, 5, 6, 7, 8], it has a lower success rate particularly in pseudophakic eyes, advanced proliferative vitreoretinopathy (PVR) and giant retinal tears [9, 10, 11, 12]. For these cases, primary PPV is an alternative option for treatment.…”

Risikofaktoren für operative Mißerfolge bei rhegmatogener Netzhautablösung

“…operierten aphaken und den phaken Augen eine erhöhte Tendenz zum komplizierten Verlauf zeigten. Dies liel3 sich auch in anderen Studien nachweisen (11,12,25 Unseren Erachtens kann die re!ativ ungUnstigere Prognose bei Pseudephakieablationes auf die Schwierigkeiten der pra-bzw. intraoperativen Funduskontro!le, sowie der exakten Lokalisation der Tamponade der Forarnina wegen peripherer, hinterer KapseltrUbungen zurUckgeführt werden.…”