Korean J Ophthalmol.  2004 Jun;18(1):58-64. 10.3341/kjo.2004.18.1.58.

Clinical Characteristics and Surgical Outcomes of Pseudophakic and Aphakic Retinal Detachments

• Jun BY
• Shin JP
• Kim SY

• KMID: 1115785
• DOI: http://doi.org/10.3341/kjo.2004.18.1.58

Abstract

We retrospectively evaluated the clinical characteristics and surgical outcomes of 20 pseudophakic retinal detachment (RD) patients (20 eyes) and 17 aphakic RD patients (17 eyes). Males were predominated in both groups. The time interval between cataract extraction and RD was 31 months on average in the pseudophakic group, 32 months with intact posterior capsule and 27 months with ruptured posterior capsule, and 148 months in the aphakic group. In 50% of cases with ruptured posterior capsule in the pseudophakic group, RD occurred within 1 year. The anatomic success rate was 95% in the pseudophakic group and 88% in the aphakic group. The most common cause of failure was the development of proliferative vitreoretinopathy. Visual acuities more than 20/40 after RD surgery were found in 13 pseudophakic (65%) and 6 aphakic (36%) eyes. Aphakic patients were more inclined to have silent RD than pseudophakic patients because of their poor visual acuity. Post-operative follow-up is required especially for the first 1 year in cases of damaged posterior capsule due to the high incidence of RD during this period.

Keyword

aphakic retinal detachment; posterior capsule; pseudophakic retinal detachment

MeSH Terms

Adult
Aphakia, Postcataract/*etiology/surgery
Comparative Study
Female
Humans
Lens Capsule, Crystalline/injuries
Lens Implantation, Intraocular
Male
Middle Aged
Phacoemulsification/*adverse effects
Pseudophakia/*etiology/surgery
Retinal Detachment/*etiology/surgery
Retrospective Studies
Rupture
Visual Acuity

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