Retinal detachment after cataract surgery : surgical results

The authors studied the results obtained by the Retina Associates in 376 eyes of 361 patients operated on for retinal detachment associated with aphakia or pseudophakia with a postoperative follow-up of at least 6 months. All eyes underwent scleral buckling. The series included 103 eyes with aphakia...

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Veröffentlicht in:Ophthalmology (Rochester, Minn.) Minn.), 1992-03, Vol.99 (3), p.460-465
Hauptverfasser: YOSHIDA, A, OGASAWARA, H, JALKH, A. E, SANDERS, R. J, MCMEEL, J. W, SCHEPENS, C. L
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container_end_page 465
container_issue 3
container_start_page 460
container_title Ophthalmology (Rochester, Minn.)
container_volume 99
creator YOSHIDA, A
OGASAWARA, H
JALKH, A. E
SANDERS, R. J
MCMEEL, J. W
SCHEPENS, C. L
description The authors studied the results obtained by the Retina Associates in 376 eyes of 361 patients operated on for retinal detachment associated with aphakia or pseudophakia with a postoperative follow-up of at least 6 months. All eyes underwent scleral buckling. The series included 103 eyes with aphakia, 17 eyes with iris-fixated intraocular lens, 111 eyes with anterior chamber (AC) IOL, and 145 eyes with posterior chamber (PC) IOL. The overall success rate for retinal detachment was 93%, without significant difference among the different groups. The aphakia and PC IOL groups had significantly higher prevalence (63% and 60%, respectively) of visual acuity equal to or better than 20/40 compared with the AC IOL group (33%). The prevalence of postoperative corneal edema in the AC IOL group was significantly higher than in the aphakia and PC IOL groups. Preoperative vitreous hemorrhage, large retinal breaks, posterior retinal breaks, total retinal detachment, proliferative vitreoretinopathy, and the need for performing a closed vitrectomy were significant factors in predicting ultimate failure.
doi_str_mv 10.1016/S0161-6420(92)31952-9
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E ; SANDERS, R. J ; MCMEEL, J. W ; SCHEPENS, C. L</creator><creatorcontrib>YOSHIDA, A ; OGASAWARA, H ; JALKH, A. E ; SANDERS, R. J ; MCMEEL, J. W ; SCHEPENS, C. L</creatorcontrib><description>The authors studied the results obtained by the Retina Associates in 376 eyes of 361 patients operated on for retinal detachment associated with aphakia or pseudophakia with a postoperative follow-up of at least 6 months. All eyes underwent scleral buckling. The series included 103 eyes with aphakia, 17 eyes with iris-fixated intraocular lens, 111 eyes with anterior chamber (AC) IOL, and 145 eyes with posterior chamber (PC) IOL. The overall success rate for retinal detachment was 93%, without significant difference among the different groups. The aphakia and PC IOL groups had significantly higher prevalence (63% and 60%, respectively) of visual acuity equal to or better than 20/40 compared with the AC IOL group (33%). The prevalence of postoperative corneal edema in the AC IOL group was significantly higher than in the aphakia and PC IOL groups. Preoperative vitreous hemorrhage, large retinal breaks, posterior retinal breaks, total retinal detachment, proliferative vitreoretinopathy, and the need for performing a closed vitrectomy were significant factors in predicting ultimate failure.</description><identifier>ISSN: 0161-6420</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/S0161-6420(92)31952-9</identifier><identifier>PMID: 1565461</identifier><identifier>CODEN: OPHTDG</identifier><language>eng</language><publisher>New York, NY: Elsevier</publisher><subject>Aged ; Aphakia - complications ; Biological and medical sciences ; Cataract Extraction - adverse effects ; Female ; Follow-Up Studies ; Humans ; Lenses, Intraocular - adverse effects ; Male ; Medical sciences ; Postoperative Complications ; Retinal Detachment - etiology ; Retinal Detachment - surgery ; Scleral Buckling ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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The aphakia and PC IOL groups had significantly higher prevalence (63% and 60%, respectively) of visual acuity equal to or better than 20/40 compared with the AC IOL group (33%). The prevalence of postoperative corneal edema in the AC IOL group was significantly higher than in the aphakia and PC IOL groups. Preoperative vitreous hemorrhage, large retinal breaks, posterior retinal breaks, total retinal detachment, proliferative vitreoretinopathy, and the need for performing a closed vitrectomy were significant factors in predicting ultimate failure.</description><subject>Aged</subject><subject>Aphakia - complications</subject><subject>Biological and medical sciences</subject><subject>Cataract Extraction - adverse effects</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Lenses, Intraocular - adverse effects</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Postoperative Complications</subject><subject>Retinal Detachment - etiology</subject><subject>Retinal Detachment - surgery</subject><subject>Scleral Buckling</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Treatment Outcome</topic><topic>Visual Acuity</topic><topic>Vitrectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>YOSHIDA, A</creatorcontrib><creatorcontrib>OGASAWARA, H</creatorcontrib><creatorcontrib>JALKH, A. E</creatorcontrib><creatorcontrib>SANDERS, R. J</creatorcontrib><creatorcontrib>MCMEEL, J. W</creatorcontrib><creatorcontrib>SCHEPENS, C. L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>YOSHIDA, A</au><au>OGASAWARA, H</au><au>JALKH, A. 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The overall success rate for retinal detachment was 93%, without significant difference among the different groups. The aphakia and PC IOL groups had significantly higher prevalence (63% and 60%, respectively) of visual acuity equal to or better than 20/40 compared with the AC IOL group (33%). The prevalence of postoperative corneal edema in the AC IOL group was significantly higher than in the aphakia and PC IOL groups. Preoperative vitreous hemorrhage, large retinal breaks, posterior retinal breaks, total retinal detachment, proliferative vitreoretinopathy, and the need for performing a closed vitrectomy were significant factors in predicting ultimate failure.</abstract><cop>New York, NY</cop><pub>Elsevier</pub><pmid>1565461</pmid><doi>10.1016/S0161-6420(92)31952-9</doi><tpages>6</tpages></addata></record>
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subjects Aged
Aphakia - complications
Biological and medical sciences
Cataract Extraction - adverse effects
Female
Follow-Up Studies
Humans
Lenses, Intraocular - adverse effects
Male
Medical sciences
Postoperative Complications
Retinal Detachment - etiology
Retinal Detachment - surgery
Scleral Buckling
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Treatment Outcome
Visual Acuity
Vitrectomy
title Retinal detachment after cataract surgery : surgical results
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