Surgical outcomes of retinal detachment after phacoemulsification cataract extraction and intraocular lens implantation

Abstract

Objective To observe surgical outcomes and influencing factors of retinal detachment (RD) after phacoemulsification cataract extraction and intraocular lens (IOL) implantation.Methods The clinical data of 38 patients who underwent retinal detachment after phacoemulsification cataract extraction and intraocular lens implantation were retrospectively analyzed.All patients diagnosed via visual acuity,slitlamp microscopy,direct or indirect ophthalmoscopy,A or B-scan ultrasonography and optical coherence tomography (OCT).There were 21 males (21 eyes) and 17 female (18 eyes).The age was from 42 to 83 years,with the mean of (57.4±11.2) years.There were nine patients (10 eyes) with simple macular hole RD (MHRD).Vitrectomy or scleral buckling or combined vitreetomy and scleral surgery were implemented according to RD range,the hole location and size,proliferative vitreoretinopathy (PVR) grading; simple MHRD eyes were treated posterior scleral reinforcement surgery.The follow-up was ranged from 3 to 12 months,with a mean of (11.9±6.8) months.Results The retina was reattached successfully through one operation in 36 eyes (92.3％),two eyes failed because of a relapse after surgery,and one eye finally succeeded by the third times of surgery.There were two eyes (5.1％) with improved vision,one eye (2.6％) with stable vision,and 36 eyes (92.3％) with decreased vision.Conclusion The ratio of the reattachment by one operation for RD after phacoemulsification cataract extraction and intraocular lens implantation is high,but the final visual prognosis remains poorly. Key words: Phacoemulsification/adverse effects; Retinal detachment/surgery