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RETINA

The following was submitted by Mardi/Canda:

Arch Ophthalmol. 1986 Nov;104(11):1617-20. Related Articles, Links


Retinal detachment following penetrating keratoplasty.

Musch DC, Meyer RF, Sugar A, Vine AK.

The time-related risk of retinal detachment during

the follow-up of 1146 penetrating keratoplasty

procedures was evaluated, using survival analysis
techniques. Twenty-eight retinal detachments were

observed during follow-up. The Kaplan-Meier

estimate of the risk of developing retinal detachment
increased from 1.5% at three months to 2.1% at one

year after surgery. Further follow-up showed a

gradual increase in the cumulative proportion
developing retinal detachment to 4.7% at 3.5 years

after surgery. Of the preoperative and intraoperative

factors available for study, performing an
anterior vitrectomy during penetrating keratoplasty

was associated with a greater risk of postoperative

retinal detachment. The outcome of visual
acuity following retinal detachment in these

patients' eyes was poor; five patients could not

perceive light with the affected eye, and 82% (23/28)

had visual acuity of 20/200 or less.

PMID: 3535755 [PubMed - indexed for MEDLINE]

Results in cataract extraction after retinal detachment

surgery.

Pischel DK, Atkins RE, Roth FD.

Out of 58 eyes in which a cataract extraction followed a successful detachment operation, only 8, or 15.5%,

developed a detachment of the retina after the cataract operation and, of these 8 eyes, 7 were cured with further
retinal detachment operation. Thus, in 58 healed

detachment eyes, only 1 (1.7%) lost useful vision

because of incurable retinal detachment following
cataract extraction. Therefore, one may conclude

that, in a patient definitely handicapped by poor

vision due to a cataract in an eye with a
healed retinal detachment, extraction of this

cataract is justified and carries a good prognosis.

PMID: 876097 [PubMed - indexed for MEDLINE]

Update on a long-term, prospective study of

capsulotomy and retinal detachment rates after

cataract surgery.

Olsen G, Olson RJ.

Department of Ophthalmology and Visual Sciences,

John Moran Eye Center, Salt
Lake City, UT 84132, USA.

PURPOSE: To evaluate the retinal detachment risks

and neodymium:YAG (Nd:YAG)
capsulotomy rates associated with different cataract approaches and intraocular lens (IOL) styles in a

long-term,prospective clinical study.
SETTING: Clinical practice of 1 ophthalmologist,

Fort Collins, Colorado,
USA. METHODS: Prospectively studied were surgical approach, date, and complications; IOL type;

axial length; patient age and sex; Nd:YAG
capsulotomy and date; and retinal detachment

and date.

RESULTS:
Phacoemulsification had a lower risk of retinal

detachment than intracapsular cataract extraction

(ICCE) (0.4% versus 5.4%; P <.001) and
extracapsular cataract extraction (ECCE)

(0.4% versus 1.6%; P =. 002).
Although retinal detachment was significantly

associated with Nd:YAG for
ECCE (3.1% versus 1.0%; P =.01),

no patient in the phacoemulsification group
had a retinal detachment after an Nd:YAG treatment.

Retinal detachment was strongly associated with

axial length of 24.0 mm and greater (P <.001), age
of 60 years or less if axial length was 24.0 mm or

greater (for ECCE, P =.001; for phacoemulsification,

P =.01) and sex; that is, male (for ECCE, P =. 04;

for phacoemulsification, P =.02).

Regarding IOL styles the Surgidev
B20/20 (P <.001) and AcrySof MA60 (P <.001) had significantly lower Nd:YAG rates, while the

Cilco UPB 320 GS had a significantly

higher Nd:YAG rate (P <.001).

CONCLUSIONS: Cataract surgical approach

and IOL style significantly affect Nd:YAG

and retinal detachment rates. Being a man,

being 60 years or younger, and especially

having an axial length of 24.0 mm or greater were
associated with detachment. Some Nd:YAG

approaches may not put the patient
at increased risk for retinal detachment.


 



 

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