Retinal Detachment after Cataract Surgery

Yoshida, Akitoshi; Ogasawara, Hironobu; Jalkh, Alex E.; Sanders, Reginald J.; McMeel, J. Wallace; Schepens, Charles L.

doi:10.1016/s0161-6420(92)31952-9

Cited by 67 publications

(27 citation statements)

References 9 publications

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“…The difference with previous studies [18][19][20] could be explained by the preoperative PVR present in 29% of our patients. The overall reattachment rate of 88% was comparable to rates reported by others [16][17][18][19][20][21]. PVR, new break or unsealed break concerned 33 of our 36 initial failures.…”

Section: Anatomical Resultscontrasting

confidence: 99%

“…We did not find any difference between the three groups (aphakic, pseudophakic with ACL or PCL), which is in agreement with recent studies [16,18,20,21] but in contrast with earlier publications [14][15]. Vitreous complications and AC IOL were not negative anatomical prognosis indicators but only predictive of poor functional results.…”

Section: Anatomical Resultssupporting

confidence: 91%

“…Most unsealed breaks were undetected due to the difficulties encountered during ophthalmoscopy owing to poor pupillary dilatation or to posterior capsule opacities. Inability to find breaks was believed to be a significant factor in predicting ultimate failure [19][20] but it was not the case in this study as it was in others [16,18,21]. It might be a factor for failure at the first procedure (P = 0.05) but at subsequent procedures the buckle was either extended over the circumference of the retina or the break was finally identified during vitrectomy.…”

Section: Anatomical Resultsmentioning

confidence: 74%

“…A number of reports have been published to date on aphakic retinal detachment (ARD) [5][6][7][8][9]. More recently articles have appeared on pseudophakic retinal detachment (PPRD) [10][11][12][13][14][15][16][17][18][19][20][21] but most papers discuss series which operated at a time when cataract extraction was different from now. At present nearly 95% of cataract surgery is associated with intraocular lens (IOL) of which approximately 90% is the posterior chamber type [3,4].…”

Section: Introductionmentioning

confidence: 99%

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Retinal detachment after cataract surgery

1997

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Background: A study of the characteristics and the results obtained in 99 consecutive eyes operated on for rhegmatogenous retinal detachment associated with aphakia or pseudophakia in order to find the predictive factors of poor anatomical and functional results. Methods: The authors retrospectively reviewed the files of 99 consecutive cases of aphakic and pseudophakic retinal detachment operated on by the same surgeon between January 1992 through July 1993 with a minimum follow-up of 6 months. Multivariate and chi square analysis were carried out. Results: Of the pseudophakic eyes, 25 had an anterior chamber lens and 48 had a posterior chamber lens. The posterior capsule was disrupted using a Yag laser in 58% of those with an posterior chamber lens but only 14% of them developed detachment within 6 months. The rate of vitreous loss was 27% with 5% in case of intracapsnlar extraction, 31% in case of extracapsular extraction and 54% in case of phacoemulsification. PVR was present in 30% of the patients and 51% of detachments occurred more than 24 months as a mean after cataract surgery. The overall anatomic reattachment rate was 88% with no significant difference between the aphakic and the pseudophakic patients, either with an anterior chamber of posterior chamber lens. Visual results were significantly worse in the anterior chamber lens group and in the aphakic eyes (P < 0.02). Negative prognostic indicators for reattachment included poor preoperative vision, extension of the retinal detachment to the macula (P < 0.05) and grades B, C or D proliferative vitreoretinopathy (P < 0.01). In addition to the above factors, eyes with vitreous loss, anterior chamber lens, aphakia and a larger extent of the retinal detachment had a poor visual outcome. Conclusion: Most aphakic or pseudophakic retinal detachment can now be reattached with either scleral or vitreo retinal surgery. The main difficulties are the localisation of the breaks and the treatment of PVR. Indirect ophthalmoscopy associated with vitrectomy does well in cases of an opacified posterior capsule. In cases of severe PVR long term internal tamponade either with C3F8 or silicone oil improves anatomical results but the functional results remain inferior.

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Section: Anatomical Resultscontrasting

confidence: 99%

Section: Anatomical Resultssupporting

confidence: 91%

Section: Anatomical Resultsmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

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Retinal detachment after cataract surgery

1997

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“…13 Other reports emphasize the frequent presence of anterior segment inflammation with AC IOLs. 21,22 Postoperative inflammation in patients with Artisan IOLs has not been significant and is comparable to inflammation observed in patients with PC IOLs. 2 Irisfixated IOLs result in a lower incidence of glaucoma than flexible, open-loop AC IOLs.…”

Section: Discussionmentioning

confidence: 82%

Artisan lens implantation to correct aphakia after vitrectomy for retained nuclear lens fragments

Meulen

Gunning

Vermeulen

et al. 2004

Journal of Cataract and Refractive Surgery

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Analysis of the Macula With Optical Coherence Tomography After Successful Surgery for Proliferative Vitreoretinopathy

Benson

Grigoropoulos²,

Schlottmann³

et al. 2005

Arch Ophthalmol

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Objective: To use optical coherence tomography to assess the in vivo pathologic findings associated with incomplete visual recovery in patients who have undergone anatomically successful surgery to treat proliferative vitreoretinopathy. Methods: Eligible patients were recruited in vitreoretinal outpatient clinics between April 1, 2002, and July 31, 2003. Patients were included who had undergone anatomically successful vitreoretinal surgery to treat proliferative vitreoretinopathy and, at least 3 months after surgery, had postoperative vision worse than expected (Յ6/12) with no identifiable cause at clinical examination. Patients underwent optical coherence tomography, stereo fundus fluorescein angiography was performed in a cohort of patients, and angiographic findings were compared with those on the optical coherence tomograms. Relevant clinical data were collected retrospectively from patient case notes. Results: A total of 35 patients were recruited. Optical coherence tomograms revealed cystoid macular edema in 23 patients (66%) but did not identify any other specific intraretinal disease. Location of edema (outer or inner retina), determined with stereo fundus fluorescein angiography and optical coherence tomography, correlated well. Conclusions: Optical coherence tomography is a useful diagnostic tool for assessing poor postoperative visual acuity and can reveal disease undetected at clinical examination. Cystoid macular edema is a common finding on optical coherence tomograms in eyes with incomplete visual recovery after anatomically successful surgery to treat proliferative vitreoretinopathy.

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Retinal Detachment after Cataract Surgery

Cited by 67 publications

References 9 publications

Retinal detachment after cataract surgery

Retinal detachment after cataract surgery

Artisan lens implantation to correct aphakia after vitrectomy for retained nuclear lens fragments

Analysis of the Macula With Optical Coherence Tomography After Successful Surgery for Proliferative Vitreoretinopathy

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