Abstract

Objective To analyze risk factors of retinal detachment after cataract surgery combined with intraocular lens implantation. Methods The clinical data of 3 548 eyes of 3 548 cases of cataract from Jun. 2010 to May 2016 were analyzed retrospectively. Patients were followed up for 24 months. The relationship of iatrogenic factors, age, axial length, myopia, etc with retinal detachmant was analyzed. Results After cataract surgery retinal detachment occurred in 36 patients, accounting for 1.01%, males were more than females. In addition, the incidence of retinal detachment with axial length <24 mm was lower. And the incidence of patients with 27-28 mm of axial length was 3.59 %. The incidence of retinal detachment after cataract surgery was highest among people aged 50-59 years, the average age was (58.56±9.9) years. The incidence of retinal detachment decreased significantly with age increase. Retinal detachment was closely related to posterior capsule rupture during surgery and postoperative cataract treated with capsulotomy. Conclusion Retinal detachment is closely related to gender, age, axial length, high myopia, posterior capsule rupture during surgery and postoperative cataract treated with capsulotomy. Key words: Surgery, cataract; Detachment, retinal; Myopia, high; Axis, optic

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