[Artephakic retinal detachment]

The authors investigated the incidence of retinal detachment from a total of 3,802 artephakic eyes in which between September 1988 and June 1993, an intraocular lens was implanted at the First Eye Clinic in Prague. Detachment of the retina occurred in 10 eyes, 9 patients (0.3%). Risk factors for detachment of the retina were loss of the vitreous body during extraction of the cataract, a previous injury, myopia and YAG capsulotomy. Cryosurgery was selected in 76.9%, pars plana vitrectomy with an internal tamponade using silicon oil in 15.4% of the eyes. The retina attached in 92.3%, the visual acuity improved, as compared with the condition before operation of the detached retina, in 58.4% of successfully operated patients. Extracapsular extraction of the lens with implantation of an intraocular lens significantly reduced the incidence of retinal detachment. The prognosis of artephakic retinal detachment is comparable with the prognosis of aphakic retinal detachment.