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

Abstract

ABSTRACT.Purpose: To examine the incidence of and risk factors for retinal detachment during a 10-year follow-up on intracapsular cataract extraction (ICCE). Methods: Retrospective analysis of medical records of 1041 eyes operated on with ICCE in the years 1984-86. A complete follow-up was achieved, and actuarial methods were used in the risk assessment. The risk time averaged 82 months. Results: Twenty-two (2.1%) eyes developed retinal detachment; half of the cases occurred during the first postoperative year, but new cases emerged throughout the period. The cumulative incidence of RD amounted to 2.8%; 95% confidence interval: 1.5-4.2%. Multivariate Cox regression analysis identified younger age at surgery (relative risk for each 10-year increase in ageΩ0.6; 95% confidence interval: 0.39-0.95) and male gender (relative riskΩ2.5; 95% confidence interval 1.04-6.04) as significant risk factors for RD. Eleven eyes, 50% of eyes with RD and 1% of the total number of eyes, lost useful vision in spite of retinal surgery. Conclusion: Even though the risk for both RD and an unfavourable result following retinal surgery may be smaller using contemporary surgical techniques, the present study indicates a substantial morbidity following cataract surgery, when a sufficiently long observation period is considered.

Daytime presentations to a metropolitan ophthalmic emergency department

“…Although the first three of these are likely to be secondary to the higher risk of occupational or recreational trauma among men, retinal detachment although also showing a male predominance, occurs more frequently in older patients. The male predominance in retinal detachment has been found elsewhere in the literature 8–10 …”

Risk for Retinal Detachment After Phacoemulsification

“…Among RD cases, age was not significantly different between the sexes (P = . 21). No other patient factors, including locality and insurance status, were independently associated with risk for RD.…”

Persistent corneal oedema following ICCE. Influence of IOL type

“…Included in this study, which is a part of a larger study examining long term complications (Naeser et al 1998), were: Patients who underwent ICCE and age Ø50 years. Excluded were: Eyes with traumatic cataracts, preoperative retinal detachments, diabetic traction detachments, corneal grafting and vitrectomies.…”

“…We tracked all our patients for contacts to other Danish eye departments; none of our patients were admitted to other departments due to PCO (Naeser et al 1998).…”