Retinal detachments and intraocular lenses

1. Increasingly more patients with PPRD are seen. A retinal detachment can occur after any type of implant or cataract extraction. 2. The pseudophakic patient is better equipped than the aphakic patient to recognize symptoms of a retinal detachment, and most PPRDs are seen soon after they occur. 3. Visual access to the retina is sometimes decreased. The IOL requires more precautions. Hazy media and lens remnants are a major handicap, and the examination is more difficult and time-consuming. 4. Characteristic pseudophakogenic retinal changes or breaks are not obvious. Retinal tears are small and located near the ora serrata retinae. 5. When the breaks are found, the lengthy examination can be followed by a simple scleral buckle with minimal insult to the eye. When the breaks are not found, the treatment is extensive. 6. The anatomical and visual results are comparable to results of other rhegmatogeneous retinal detachments.