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Analysis of factors correlated with the development of pseudophakic retinal detachment - a long-term study in a single medical center

  • Retinal Disorders
  • Published:
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Abstract

Background

To analyze the possible factors correlated with the development of retinal detachment (RD) after cataract extraction and intraocular lens (IOL) implantation in a single medical center.

Methods

We performed a retrospective chart review of patients receiving cataract extraction and posterior chamber IOL implantation from January 2000 to June 2010 at one medical center. We analyzed demographic characteristics, medical history, axial length (AL), operation method, intraoperative and postoperative complications, Nd-YAG posterior capsulotomy and records for RD.

Results

The 9,184 patients analyzed included 6,464 males and 2,720 females, mean age 71.8 ± 9.1 years. The cumulative 7-year RD rate was 0.84 %. Young age, long axial length and intraoperative complications were significantly associated with the risk of pseudophakic RD. Although not a statistically significant factor for the whole group, Nd-YAG posterior capsulotomy represented a significant risk in those with high myopia stratified by axial length. In moderate myopic group, both intra-operative complication and Nd-YAG posterior capsulotomy showed more tendencies to increase risk of RD, but only intra-operative complication had significant difference.

Conclusions

Young age, myopia and intra-operative complications were significant risk factors for the development of RD after cataract extraction and IOL implantation. Post-operative Nd-YAG posterior capsulotomy led to more risk for psuedophakic RD in myopic eyes, especially high myopia. The risk of pseudophakic RD should be considered before deciding to perform cataract extraction and the following capsulotomy in myopic eyes, particularly those for refractive indication in young patients.

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Acknowledgement

Supported in part by grant NSC97-2314-B-075B-011 from the National Science Council and grant VGHKS100-065 from the Kaohsiung Veterans General Hospital, Kaohsiung City, Taiwan.

Conflict of intererst

The authors declare no conflict of interest.

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Authors and Affiliations

  1. Department of Ophthalmology, Kaohsiung Veterans General Hospital, 386, Ta-Chung 1st Road, Kaohsiung, 813, Taiwan

    Jiun-Yo Lin, Wan-Ling Ho & Shwu-Jiuan Sheu

  2. Department of Research and Education, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan

    Luo-Ping Ger

  3. School of Medicine, National Yang-Ming University, Taipei, Taiwan

    Shwu-Jiuan Sheu

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  1. Jiun-Yo Lin
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  2. Wan-Ling Ho
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Correspondence to Shwu-Jiuan Sheu.

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Lin, JY., Ho, WL., Ger, LP. et al. Analysis of factors correlated with the development of pseudophakic retinal detachment - a long-term study in a single medical center. Graefes Arch Clin Exp Ophthalmol 251, 459–465 (2013). https://doi.org/10.1007/s00417-012-2043-3

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  • DOI: https://doi.org/10.1007/s00417-012-2043-3

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