Surgical Outcomes for Primary Rhegmatogenous Retinal Detachments in Patients with Pseudophakia after Phacoemulsification.
10.3341/kjo.2011.25.6.394
- Author:
Ji Won LIM
1
;
Soo Jeong RYU
Author Information
1. Department of Ophthalmology, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon, Korea. jiwoneye@hallym.or.kr
- Publication Type:Original Article
- Keywords:
Phacoemulsification;
Pseudophakia;
Rhegmatogenous retinal detachment
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Cataract/*etiology/physiopathology;
Female;
Follow-Up Studies;
Humans;
*Lens Implantation, Intraocular;
Male;
Middle Aged;
*Phacoemulsification;
Retinal Detachment/physiopathology/*surgery;
Retrospective Studies;
Treatment Outcome;
Young Adult
- From:Korean Journal of Ophthalmology
2011;25(6):394-400
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To evaluate the clinical features and surgical outcomes for primary rhegmatogenous retinal detachments (RDs) in patients with pseudophakia after phacoemulsification. METHODS: The medical records of patients with pseudophakia after phacoemulsification and intraocular lens implantation who had undergone surgery for primary rhegmatogenous RDs with a minimum duration of follow-up of 12 months were reviewed retrospectively. RESULTS: A total of 104 patients were enrolled in this study and 106 eyes were analyzed. Post-operative retinal attachment was achieved in 87 of the eyes (82.1%) and the final visual acuities (logarithm of the minimum angle of resolution) were improved to 0.65 +/- 0.49 from the baseline measurement of 1.51 +/- 1.14 (p < 0.001). Re-operations were performed in 24 of the eyes (22.6%) and there were no visible retinal breaks in 30 of the eyes (28.3%). The failure to identify a retinal break during surgery was associated with a lower rate of retinal reattachment, worse final visual acuity, and a higher rate of re-operation (p = 0.002, p = 0.02, and p = 0.002, respectively). The location of the identified retinal break was more common in the superotemporal quadrant than in the other quadrants. CONCLUSIONS: The inability to identify a retinal break during surgery was associated with a poor final outcome. Other factors were less important for the functional and anatomic success in patients with pseudophakic RDs.
