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Bilateral identical intervals between phacoemulsification procedures performed 23 years before retinal detachment
Chrysanthos Symeonidis1, Lampros Lamprogiannis1, Ioannis Tsinopoulos1
12nd Department of Ophthalmology, School of Medicine, Aristotle University of Thessaloniki, "Papageorgiou" General Hospital, 564 03 Thessaloniki, Macedonia, Greece.
Oman Journal of Ophthalmology
|December 4, 2018
Summary
Phacoemulsification, a cataract surgery technique, may trigger delayed rhegmatogenous retinal detachment (RRD) decades later. This case highlights a potential long-term risk associated with the ultrasound energy used in the procedure.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Cataract Surgery
Background:
- Phacoemulsification is a common cataract surgery technique.
- Rhegmatogenous retinal detachment (RRD) is a serious ocular condition.
- The long-term effects of phacoemulsification on the peripheral vitreous and retina are not fully understood.
Observation:
- A 57-year-old female developed bilateral rhegmatogenous retinal detachment (RRD).
- The patient had undergone uneventful bilateral cataract extraction using phacoemulsification 23 years prior.
- RRD in the left eye was treated with pars plana vitrectomy and gas tamponade; the right eye developed RRD 33 days later and was similarly managed.
Findings:
- The case suggests a potential link between phacoemulsification and delayed RRD onset.
- Ultrasound energy from phacoemulsification may induce late vitreoretinal changes.
- These changes could manifest as RRD several decades after uncomplicated cataract surgery.
Implications:
- Ophthalmologists should consider the potential for delayed RRD in patients with a history of phacoemulsification.
- Further research is needed to elucidate the mechanisms linking phacoemulsification to late RRD.
- This finding may influence long-term patient follow-up strategies after cataract surgery.
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