J Korean Ophthalmol Soc.  1995 Dec;36(12):2157-2161.

The Incidence of Retinal Detachment after Cataract Surgery according to Surgical Methods

• Sun DY
• Lee JH

Abstract

We reviewed our medical records to evaluate the incidenee of and risk factors for retinal detachment after cataract surgery according to the surgical methods. Group 1 included 605 eyes operated on with corneoscleral incision, extracapsular cataract extraction(ECCE) and posterior chamber intraocular lens(PCL) implantation, and Group 2 included 600 eyes with scleral tunneling incision, phacoemulsification and PCL implantation. 8 eyes(1.3 %) developed retinal detachment in group 1, whereas 1 eyes(0.2%) in group 2. The difference in incid ence between the two groups was statistically significant(P<0.05). Axial length is longer than 25mm, intraoperative posterior capsule rupture, and scleral fixation were identified as risk factors for retinal detachment after cataract surgery. From the above results, suggest that phacoemulsification with scleral tunnel incision is preferable to extracapsular cataract extraction(ECCE) with cornea-scleral incision, in cataract surgery, to lower the post operative complication of retinal detachment.

Keyword

Retinal detachment after cataract surgery; Post; capsule rup ture; Scleral fixation; Axial myopia

MeSH Terms

Cataract*
Incidence*
Medical Records
Phacoemulsification
Retinal Detachment*
Retinaldehyde*
Risk Factors
Rupture
Retinaldehyde