Retinal detachment and posterior vitreous detachment following refractive lens exchange in myopic patients

Refractive lens exchange has become established thanks to advances in phacoemulsification, the precise calculation of intraocular lenses, and the design of simultaneous vision lenses, which allow for the joint correction of ametropia and presbyopia. In myopia, however, the risk of retinal detachment following surgery remains a significant concern due to its severity. This review gathers the most recent data on the incidence of retinal detachment after refractive lens exchange using current techniques, analyzes its relationship with posterior vitreous detachment, and reviews indication criteria in light of recent literature. Additionally, the available evidence regarding the use of phakic lenses in patients with presbyopia is examined. Finally, the impact that vitreous and retinal detachment may have on the visual performance of simultaneous vision lenses is addressed. Clinical implications for ophthalmological practice are highlighted.