Low prevalence of anterior vitreous detachment in eyes with pseudophakic retinal detachment indicates strong vitreoretinal adhesions

Evaluation of the vitreolenticular interface with intraoperative OCT

“…We initially hypothesized that AVD would occur earlier in eyes with longer AL as the tractional forces within the vitreous are stronger in large eyes. 17,18 However, our study contradicted this. This does not exclude the presence of variations in size of Berger space, which can be extremely big in patients with high myopia but with an intact Wieger ligament.…”

“…They concluded that the persistent attachment of the AHM to the PC probably indicates a strong vitreoretinal adherence, which plays a crucial role in the development of postphacoemulsification rhegmatogenous retinal detachment. 18 Van den Heurck et al reported a lower incidence of rhegmatogenous retinal detachment using the BIL technique and a Morcher 89A IOL (Morcher GmbH), compared with reported values in the literature of standard lens-in-the-bag procedures. 23 A possible explanation for this lower incidence of detachment when using the BIL technique is that the BIL procedure more often induces AVD if not yet present.…”