Pseudophakic retinal detachment

Lois, Noemi; Wong, David

doi:10.1016/s0039-6257(03)00083-3

Cited by 182 publications

(135 citation statements)

References 227 publications

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“…24 This influence is believed to be related to the clarity of fundus viewing, which is more often compromised in eyes with an anterior chamber lens, thereby resulting in a higher incidence of undetected retinal breaks. 7 Compared to earlier studies, the anatomical outcome after vitrectomy in pseudophakic eyes has increased dramatically, 8 even without additional cerclage. 16,17 This finding may reflect recent advancements in vitrectomy techniques, including indirect wide-angle optics and a means of removing capsular opacities.…”

Section: Discussionmentioning

confidence: 98%

“…[3][4][5][6][7] In pseudophakic RD, the preoperative evaluation and surgical treatment are rendered more difficult by a restricted view of the peripheral fundus, 3 and, for this reason, the anatomical outcome of reattachment surgery in pseudophakic eyes is deemed to be poorer than in phakic ones. [6][7][8] A comparison of data gleaned from previous studies is difficult, owing to the inclusion of cases with anterior chamber lenses or even patients with aphakia after intracapsular cataract extraction. Improvements in microsurgical techniques, such as extracapsular cataract extraction by phacoemulsification, have led to a substantial lowering of the incidence of pseudophakic RD down to 0.4-1.3%.…”

Section: Introductionmentioning

confidence: 99%

“…5 Since RD is more extensive in pseudophakic eyes, 5 the macula has been described to be detached more frequently. 8,11 Consequently, the visual recovery after reattachment surgery is supposed to be poorer in pseudophakic eyes. 11,12 In a recent study, the influence of posterior capsulotomy on the anatomical and functional outcome of retinal reattachment surgery in pseudophakic eyes has been well described.…”

Section: Introductionmentioning

confidence: 99%

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Primary retinal reattachment surgery: anatomical and functional outcome in phakic and pseudophakic eyes

Halberstadt

Chatterjee-Sanz

Brandenberg

et al. 2004

Eye

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Aim To compare the anatomical and functional success of primary scleral buckling, performed either alone or in combination with vitrectomy, for primary retinal detachment (RD) in phakic eyes and in eyes had undergone uneventful phacoemulsification and had received posterior chamber lens implantations. Methods A total of 243 consecutive patients were included in this retrospective, nonrandomized comparative study. In all, 165 phakic and 78 pseudophakic individuals with primary RD underwent scleral buckling alone or in combination with vitrectomy and were followed up for 6 months. Pre-, intra-and postoperative findings including anatomical success, best-corrected visual acuity (BCVA), complications, and the development of proliferative vitreoretinopathy (PVR), macular pucker, or secondary cataracts were recorded. Cases requiring more than one surgical intervention were defined having failed, although further surgical intervention might have led to success. Results At 6 months after scleral buckling alone, the anatomical success was similar in phakic (88.98%) and pseudophakic (87.65%) eyes (log rank ¼ 0.310). The corresponding results after scleral buckling with vitrectomy were 82.13 and 77.63% for phakic and pseudophakic eyes, respectively (log rank ¼ 0.799). At 6 months after scleral buckling alone, BCVA was similar in phakic and pseudophakic eyes (0.6270.30 vs 0.7070.29; P ¼ 0.227). Likewise, after scleral buckling with vitrectomy, BCVA did not differ significantly (P ¼ 0.322) between phakic (0.3470.32) and pseudophakic eyes (0.5070.27). Conclusion The anatomical and functional outcome of primary retinal reattachment surgery, involving scleral buckling alone or in combination with vitrectomy, is similar in phakic and pseudophakic eyes.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Primary retinal reattachment surgery: anatomical and functional outcome in phakic and pseudophakic eyes

Halberstadt

Chatterjee-Sanz

Brandenberg

et al. 2004

Eye

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“…Therefore, cataract extraction tends to be performed at relatively early stages [25,26]. However, it was reported that the risk of RRD with ICCE and ECCE was slightly higher than that with phacoemulsification (1.0%-8.1% with ICCE, 0%-7.5% with ECCE, and 0%-3.6% with phacoemulsification) [27]. In our study, the incidence of RRD in phakic eyes peaked at 50-59 years of age, while the incidence of prior cataract extraction peaked at 70-79 years of age.…”

Section: Discussionmentioning

confidence: 99%

The Incidence of Rhegmatogenous Retinal Detachment in Kumamoto, Japan between 2009 and 2011

Haga¹,

Kawaji²,

Tsutsumi³

et al. 2017

J Clin Exp Ophthalmol

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Objective: The annual incidence of rhegmatogenous retinal detachment (RRD) in Kumamoto, Japan was previously evaluated in 1990. However, the incidence has not been evaluated during the last 20 years. The purpose of this study was to estimate the current incidence and epidemiologic characteristics of RRD in Kumamoto, Japan. Methods:The study was based on a retrospective chart review of hospital patients living in Kumamoto, Japan. All patients were treated for primary RRD by conventional surgery (pars plana vitrectomy and/or scleral buckling) at Kumamoto University Hospital or Ideta Eye Hospital between January 1, 2009, and December 31, 2011. Information on age, gender, refractive status, and history of cataract surgery was collected.Results: A total of 897 RRD patients were identified during the 3-year study period. The annual incidence of RRD was 16.5 (21.9 in males, 11.7 in females) per 100,000 people, with a peak incidence of 35.4 in the 50-59 years of age group. The incidence of RRD in males was 1.88 times (95% confidence interval, 1.56-2.29) higher than in females (P<0.0001). Prior cataract extraction was found in 14% of RRD eyes. Myopia (≤ −1 diopter [D]) was found in 54%, and high myopia (≤ −6 D) was found in 23%. The mean refraction status was −3.53 ± 3.94 D. The mean refractive status in patients younger than 50 years of age (−6.00 ± 3.33 D) was significantly higher than that in patients 50 years of age or older (−2.23 ± 3.61 D; P<0.001). The incidence of RRD in Kumamoto is expected to increase over the next 20 years in comparison to a previous study investigated in 1990. Conclusion:The annual incidence of RRD was dependent on age, gender, refraction status, and history of cataract surgery. Considering the growing elderly population, we expect that the incidence of RRD will continue to increase in Japan.

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“…[1][2][3] The risk is greater in eyes where the axial length exceeds 25 mm and in eyes where surgery is complicated by vitreous loss. 1,4 Interestingly the effect of performing a neodymium: yttrium garnet (Nd:YAG) capsulotomy in the perioperative period is not always reported as increasing the risk of PRD.…”

Section: Introductionmentioning

confidence: 99%

Posterior vitreous detachment following cataract surgery

Hilford

Mathew

et al. 2008

Eye

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Objective To determine the incidence of posterior vitreous detachment (PVD) in a series of patients who have undergone cataract surgery by phacoemulsification. Design Comparative case series Participants A consecutive series of 149 patients who underwent cataract surgery aged between 50 and 60 years were evaluated in this study. Methods Patients identified as being eligible for this study were recalled for an ophthalmic assessment, which included a dilated retinal examination. Main Outcome Measures The status of the vitreous was recorded following an evaluation by slit-lamp biomicroscopy, binocular indirect ophthalmoscopy, and B-scan ultrasonography.Results A PVD was documented in 50.8% of the pseudophakic eyes as compared to 20.8% in the phakic fellow eyes. This difference was statistically significant. Furthermore, the incidence of PVD was greater in pseudophakic eyes with an axial length of 25 mm or greater compared to those eyes with an axial length of o25 mm. Neodymium: yttrium garnet (Nd:YAG) capsulotomy did not influence the prevalence of PVD. In this series of eyes, with a median follow-up interval of 77 months the incidence of pseudophakic retinal detachment (PRD) was 4% Conclusions The incidence of PVD in pseudophakic eyes in the 6th decade is higher than those phakic eyes, and is likely to be associated with the increased risk of PRD observed in this age group.

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Pseudophakic retinal detachment

Cited by 182 publications

References 227 publications

Primary retinal reattachment surgery: anatomical and functional outcome in phakic and pseudophakic eyes

Primary retinal reattachment surgery: anatomical and functional outcome in phakic and pseudophakic eyes

The Incidence of Rhegmatogenous Retinal Detachment in Kumamoto, Japan between 2009 and 2011

Posterior vitreous detachment following cataract surgery

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