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Aphakic retinal detachment. Prophylaxis in the second eye.

C E Gilbert, R J Lamb, B Martin

    Transactions of the Ophthalmological Societies of the United Kingdom
    |January 1, 1983
    PubMed
    Summary
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    High myopia increases the risk of aphakic retinal detachment after cataract surgery. Prophylactic measures are recommended for myopic eyes, particularly those with high myopia, while non-myopic eyes may not require them.

    Area of Science:

    • Ophthalmology
    • Retinal Surgery
    • Cataract Surgery

    Background:

    • Aphakic retinal detachment is a significant complication following cataract surgery.
    • Myopia, particularly high myopia, is a known risk factor for retinal detachment.

    Purpose of the Study:

    • To analyze the incidence and risk factors of aphakic retinal detachment in relation to pre-existing myopia.
    • To determine the necessity of prophylactic interventions for different refractive error groups.

    Main Methods:

    • Retrospective review of 163 cases of aphakic retinal detachment.
    • Classification of eyes based on pre-operative refractive status: myopic, highly myopic, and low myope.
    • Analysis of complication rates in relation to refractive error.

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    Main Results:

    • Eyes were equally divided between myopic, highly myopic, and low myope groups.
    • Non-myopic eyes had a lower complication rate (30%) compared to myopic eyes.
    • Non-myopic eyes constituted only 10% of the total study population.

    Conclusions:

    • Most myopic eyes, especially those with high myopia, are at increased risk for aphakic retinal detachment and may benefit from prophylaxis.
    • Non-myopic eyes generally do not require prophylactic treatment for retinal detachment post-cataract surgery.
    • Consideration of extra-capsular cataract surgery combined with prophylactic cryotherapy is suggested for high-risk myopic groups.