Posterior Vitreous Detachment and Retinal Detachment after Cataract Surgery

Ripandelli, Guido; Coppé, Andrea M; Parisi, Vincenzo; Olzi, Diego; Scassa, C.; Chiaravalloti, Adele; Stirpe, Mario

doi:10.1016/j.ophtha.2006.08.045

Cited by 108 publications

(86 citation statements)

References 14 publications

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“…These authors also found a high incidence of lattice degeneration in the younger age group and linked this, in presence of a PVD, to PRD. In our study, the incidence of lattice degeneration was approximately 8%, which was similar (10.4%) to that documented by Ripandelli et al 9 However, unlike Ripandelli et al, 9 none of the eyes with lattice degeneration in our series developed PRD; this is, in spite of all the eyes with lattice degeneration in our series, having the axial length 425 mm. This discrepancy may ultimately be resolved with a longer follow-up interval, but at present, our data would not support tha fact that the contention prophylactic treatment to lattice degeneration would prevent PRD.…”

Section: Discussionsupporting

confidence: 89%

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Posterior vitreous detachment following cataract surgery

Hilford

Mathew

et al. 2008

Eye

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Objective To determine the incidence of posterior vitreous detachment (PVD) in a series of patients who have undergone cataract surgery by phacoemulsification. Design Comparative case series Participants A consecutive series of 149 patients who underwent cataract surgery aged between 50 and 60 years were evaluated in this study. Methods Patients identified as being eligible for this study were recalled for an ophthalmic assessment, which included a dilated retinal examination. Main Outcome Measures The status of the vitreous was recorded following an evaluation by slit-lamp biomicroscopy, binocular indirect ophthalmoscopy, and B-scan ultrasonography.Results A PVD was documented in 50.8% of the pseudophakic eyes as compared to 20.8% in the phakic fellow eyes. This difference was statistically significant. Furthermore, the incidence of PVD was greater in pseudophakic eyes with an axial length of 25 mm or greater compared to those eyes with an axial length of o25 mm. Neodymium: yttrium garnet (Nd:YAG) capsulotomy did not influence the prevalence of PVD. In this series of eyes, with a median follow-up interval of 77 months the incidence of pseudophakic retinal detachment (PRD) was 4% Conclusions The incidence of PVD in pseudophakic eyes in the 6th decade is higher than those phakic eyes, and is likely to be associated with the increased risk of PRD observed in this age group.

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Section: Discussionsupporting

confidence: 89%

“…8,9 It follows, however, any age-related effect is likely to be more prevalent in a cohort of younger patients undergoing cataract surgery, and the rationale for undertaking this study was an attempt to identify any such risk factors.…”

Section: Introductionmentioning

confidence: 99%

Posterior vitreous detachment following cataract surgery

Hilford

Mathew

et al. 2008

Eye

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“…Median pre- It is known that both aphakia and pseudophakia predispose to posterior vitreous detachment (PVD) by creating changes in the ocular environment that predispose to development of retinal breaks and RD [11,12]. In a study by Ripandelli 453 eyes after uncomplicated phacoemulsification surgery were analysed during five years postoperatively; PVD occurred in 75% of eyes with no PVD and no lattice degeneration preoperatively, and in 87% of eyes with lattice degeneration and no PVD preoperatively [13]. Eyes with preoperative lattice degeneration and postoperative PVD showed a higher incidence of RD after cataract surgery (21%) than eyes without preoperative PVD or lattice degeneration (0.70%).…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes of primary vitrectomy in pseudophakic retinal detachment

Nowomiejska

Kalinowska²,

Nowakowska³

et al. 2016

Ophthalmology J

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purpose. To evaluate the efficacy of primary pars plana vitrectomy (PPV) for rhematogenous retinal detachment (RD) in pseudophakic eyes. Materials and Methods. The medical records of 63 patients who had undergone PPV after phacoemulsification were reviewed retrospectively. The mean follow-up period was 10 months. Statistical analysis evaluated functional and anatomical results as well as general (diabetes, hypertension) and ocular (myopia, glaucoma, floppy iris syndrome, intraoperative complications during cataract surgery, YAG capsulotomy) conditions. results. The median period from cataract surgery to RD onset was 15 months. Retinal attachment was achieved in 92% of eyes. The final visual acuities were improved significantly from 1.7 logMAR to 0.7 logMAR. Silicon oil was used as a tamponade in 38 eyes and SF6 gas in 25 eyes. Better functional results were achieved with SF6 gas tamponade. No intraoperative complications were reported. Most of the patients were males (71%). Statistical analysis revealed that general and ocular conditions did not influence functional results. ConClusions. Primary PPV, especially with gas as a tamponade, is an effective procedure in the surgical treatment of pseudophakic RD. The advantages include good anatomical and functional outcomes and low complication rate. Neither clinical nor surgical factors have been identified as responsible for the visual outcomes.

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“…Ripandelli et al 15 found that a PVD occurred between 2 days and 26 months after phacoemulsification in 107 of 141 (75.88%) eyes without preoperative PVD. Our results also revealed that a PVD was more frequently observed in pseudophakic eyes (P ¼ 0.019).…”

Section: Discussionmentioning

confidence: 99%

Characteristics of epiretinal membranes according to the presence or absence of posterior vitreous detachment

et al. 2011

Eye

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Purpose The purpose of this study is to investigate the morphological features of epiretinal membrane (ERM) in the presence or absence of a posterior vitreous detachment (PVD). Design Retrospective observational comparative case series. Methods This study involved 34 patients in whom the vitreoretinal relationship was confirmed during vitrectomy for treatment of ERM. We analyzed demography, direction of macular folds in fundus photographs, and foveal contours assessed by optical coherence tomography (OCT) in two groups of patients, the posterior vitreous attachment (PVA) group and the PVD group. Results Mean age of the 14 patients in the PVA group was 58.2±8.2 years, and that of 20 patients in the PVD group was 66.7±6.7 years (P ¼ 0.0023). Funduscopic examination revealed radiating folds in 57.1% of patients in the PVA group and 10% of patients in the PVD group, and a flat-shaped foveal contour was observed on OCT in 71.5% of patients in the PVA group and 25.0% of patients in the PVD group. Significant differences were observed between the PVA group and the PVD group in both direction of the macular folds (Po0.01) and foveal contours (P ¼ 0.028). Conclusion Patients with ERM and PVA were usually younger than 60 years. Radiating macular folds and flat foveal contour in patients with ERM are highly sensitive and specific findings indicative of PVA.

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Posterior Vitreous Detachment and Retinal Detachment after Cataract Surgery

Cited by 108 publications

References 14 publications

Posterior vitreous detachment following cataract surgery

Posterior vitreous detachment following cataract surgery

Clinical outcomes of primary vitrectomy in pseudophakic retinal detachment

Characteristics of epiretinal membranes according to the presence or absence of posterior vitreous detachment

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