Retinal detachment in myopic eyes after phakic intraocular lens implantation

Abstract

This retrospective, noncomparative, interventional case series analyzed the risk of retinal detachment in highly myopic eyes that underwent implantation of phakic intraocular lenses (PIOLs). In a series of 522 consecutive highly myopic eyes (323 patients), with a mean age of 32.1 ± 7.3 years (range, 18 to 52 years), a mean spherical refractive error of −18.1 ± 5.0 diopters (D) (range, −7.0 to −38.0 D), and a mean follow-up of 60.4 ± 39.1 months (range, 12 to 145 months), 15 (2.9%) developed retinal detachment after PIOL implantation. The mean time between surgery and retinal detachment was 24.4 ± 24.4 months (range, 1 to 92 months). By Kaplan-Meier analysis, the risk for retinal detachment after PIOL was 0.57% at three months, 1.64% at 12 months, 2.73% at 36 months, and 4.06% at 92 to 145 months. There was a statistically significant difference in the axial length of eyes that developed retinal detachment after PIOL and those that did not (30.65 ± 1.97 vs 29.51 ± 2.20, respectively; P = .028). The authors conclude that there is a greater risk of retinal detachment after PIOL in eyes with an axial length > 30.24 mm.—Michael D. Wagoner