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Aphakic retinal detachment.

R Le Mesurier, S Vickers, S Booth-Mason

    The British Journal of Ophthalmology
    |October 1, 1985
    PubMed
    Summary
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    Vitreous complications during cataract surgery increase the risk of aphakic retinal detachment (ARD). ARD following complicated surgery shares characteristics with uncomplicated cases but has a higher likelihood of periretinal fibrosis.

    Area of Science:

    • Ophthalmology
    • Retinal Surgery
    • Cataract Surgery

    Background:

    • Aphakic retinal detachment (ARD) is a known complication following cataract surgery.
    • Vitreous complications during cataract surgery, particularly vitreous incarceration, are suspected risk factors for ARD.

    Purpose of the Study:

    • To investigate the characteristics of aphakic retinal detachment (ARD) following complicated versus uncomplicated cataract surgery.
    • To determine the influence of vitreous complications on the timing and nature of ARD.

    Main Methods:

    • Retrospective study of 132 cases of aphakic retinal detachment (ARD).
    • Analysis of patient history, focusing on cataract surgery type (intracapsular vs. extracapsular) and intraoperative complications, specifically vitreous loss or incarceration.

    Related Experiment Videos

  • Comparison of ARD characteristics (timing, myopia, detachment extent, retinal holes, fibrosis) between groups with and without surgical complications.

    • Main Results:

    • Vitreous incarceration occurred in 37% of cases with vitreous complications during cataract surgery.
    • ARD developed within three months in a higher proportion of patients with prior vitreous complications.
    • While ARD characteristics were similar between complicated and uncomplicated cases, those following complicated surgery showed increased periretinal fibrosis.
    • Axial myopia did not influence the occurrence of early post-extraction retinal detachments.

    Conclusions:

    • Complicated intracapsular cataract surgery, especially with vitreous incarceration, significantly increases the risk of aphakic retinal detachment.
    • The findings support a shift towards extracapsular cataract surgery to mitigate ARD risk.
    • While ARD presentation is similar, complicated cases are associated with a higher incidence of periretinal fibrosis.