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Incidence of retinal detachment following clear-lens extraction in myopic patients. Retrospective analysis
C Barraquer1, C Cavelier, L F Mejía
1Escuela Superior de Oftalmología, Instituto Barraquer de América, Bogotá, Colombia.
Objective:
A retrospective study was performed to establish the incidence of retinal detachment among 107 patients (165 eyes) with pathologic myopia who underwent clear-lens extraction.
Interventions:
The techniques employed were intracapsular extraction (3.0%), aspiration (59.4%), and extracapsular extraction (37.6%); average follow-up was 31 months.
Results:
Retinal detachment developed in 12 eyes (7.3%) an average (SD) of 30.7 +/- 26.6 months postoperatively; the mean age of these patients was 34 years. We found a clear association between postoperative YAG laser/surgical posterior capsulotomy and the incidence of retinal detachment (11% vs 5.5%) but no association between intraoperative rupture of the posterior capsule and the ultimate incidence of retinal detachment. The retina was reattached in nine cases (75%).
