Risk factors for retinal detachment following cataract surgery

Abstract

Younger age, high myopia, and male sex continue to be associated with higher risk of pseudophakic retinal detachment. Intraoperative complications such as PCR also increase the retinal detachment risk. Given the high volume of cataract surgeries performed each year, pseudophakic retinal detachment contributes significantly to visual morbidity in the United States and Europe.

Outcomes of cataract operations in extreme high axial myopia

“…This could be related to the high prevalence of Retinal detachment is a serious complication after cataract extraction. The overall incidence of postoperative retinal detachment was estimated at about 0.7 % [10]. Studies reported high axial myopia as one of the risk factors for pseudophakic retinal detachment [11,12].…”

Incidence, Risk Factors, and Impact of Age on Retinal Detachment after Cataract Surgery in France

“…2 Retinal detachment (RD) after cataract extraction is a surgical visionthreatening event, with approximately half of patients not recovering better than 20/40 acuity. 3 The risk of RD after cataract surgery has been estimated at 0.7% 4 and increases up to 20 years after surgery. 5 As compared with the rate of 0.0065% to 0.079% for rhegmatogenous RD in the general population, 4,6 cataract surgery increases the risk of RD at least 4 fold, 4 and the absolute incidence of RD is substantial because of the large number of cataract surgeries performed.…”

“…3 The risk of RD after cataract surgery has been estimated at 0.7% 4 and increases up to 20 years after surgery. 5 As compared with the rate of 0.0065% to 0.079% for rhegmatogenous RD in the general population, 4,6 cataract surgery increases the risk of RD at least 4 fold, 4 and the absolute incidence of RD is substantial because of the large number of cataract surgeries performed. 7 Cataract surgery continues to improve, with reduced incision size and multifocal lens technologies.…”

Clinical outcomes of primary vitrectomy in pseudophakic retinal detachment

“…Loss of the vitreous during cataract surgery is considered to be a factor increasing the risk of RD to 4.9% [14]. Also posterior capsule rupture, anterior vitrectomy, high myopia, younger age, and male sex have been found -in large studies -to be predisposing factors for RD after cataract surgery [15][16][17]. YAG capsulotomy is considered as an important risk factor for RD in some studies [18,19], but other studies failed to confirm this finding [20].…”