The incidence and rate of rhegmatogenous retinal detachment seven years after cataract surgery in patients with high myopia
- PMID: 19568445
- PMCID: PMC2699196
The incidence and rate of rhegmatogenous retinal detachment seven years after cataract surgery in patients with high myopia
Abstract
Background: Cataract extraction is the most commonly performed surgery in the National Health Service. Myopia increases the risk of postoperative rhegmatogenous retinal detachment (RRD). The aim of this study was to determine the incidence and rate of RRD seven years after cataract extraction in highly myopic eyes.
Methods: Retrospective review was performed of notes of all high myopes (axial length 26.0 mm or more) who underwent cataract extraction during the study period in one centre.
Results: 84 eyes met the study criteria. Follow-up time from surgery was 93 to 147 months (median 127 months). The average axial length was 28.72 mm (sd 1.37). Two eyes developed post-operative RRD; the incidence was 2.4% and the rate one RRD per 441.6 person-years. The results of 15 other studies on the incidence of RRD after cataract extraction in high myopia were pooled and combined with our estimate.
Conclusion: Both patients in our study who developed RRD had risk factors for this complication as well as high myopia. Risk factors are discussed in the light of our results and the pooled estimate. Our follow-up time is longer than most. Future case series should calculate rates to allow meaningful comparison of case series.
Keywords: Extracapsular cataract extraction; Myopia; Phacoemulsification rate; Retinal detachment.
References
-
- Great Britain. Department of Health. Chief Executive's report to the NHS: statistical supplement. December 2005. London: Department of Health; 2005. Available from: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/Publicati.... Last accessed February 2009.
-
- Leaming DV. Practice styles and preferences of ASCRS members–2000 survey. American Society of Cataract and Refractive Surgery. J Cataract Refract Surg. 2001;27(6):948–55. - PubMed
-
- Ranta P, Kivela T. Functional and anatomic outcome of retinal detachment surgery in pseudophakic eyes. Ophthalmol. 2002;109(8):1432–40. - PubMed
-
- Colin J, Robinet A. Clear lensectomy and implantation of a low-power posterior chamber intraocular lens for correction of high myopia: a four-year follow-up. Ophthalmol. 1997;104(1):73–7. discussion 77-8. - PubMed
-
- Lois N, Wong D. Pseudophakic retinal detachment. Surv Ophthalmol. 2003;48(5):467–87. - PubMed
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