Abstract
Currently, the most popular treatment for retinal detachment is microinvasive vitrectomy with vitreous cavity tamponade. Often, surgical intervention in the posterior segment is preceded by the removal of the lens with intraocular lens implantation. However, when there is the absence of opacities in the lens in a young patient, another surgical tactic – the preservation of the native lens and the implementation of delayed phacoemulsification can be used. In the present study, we compared two groups of patients who were treated for rhegmatogenous retinal detachment with simultaneous removal of the lens and two-stage treatment with preservation of the native lens at the first stage of treatment. The comparison was carried out on quantitative and qualitative features. Quantitative features included: age of the patient; value of the anterior-posterior axis of the eye (APO); BCVA value before surgery and in the early postoperative period (from 1 to 3 months after surgery). Qualitative features included: detachment age (up to a month; 1–3 months; more than 3 months); macula capture (presence, absence); tactics of lens surgery (combined operation (single-stage) or combined (two-stage treatment). According to the results of the retrospective analysis, it was found that patients of the compared groups differed significantly only in the value of BCVA before surgery. However, despite the absence of significant differences between the compared groups in terms of qualitative features, it should be assumed that the decrease in the value of BCVA in patients of the second group is more related to the age of retinal detachment. Concerning the lack of a statistically significant relationship between the dynamics of BCVA and the tactics of cataract surgery, it should be assumed that both approaches to patient management take place in practical ophthalmology. Keywords: retinal detachment, cataract, combined operations.
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