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Observational Study
. 2025 Mar;103(2):146-151.
doi: 10.1111/aos.16691. Epub 2024 Apr 8.

The effect of axial length on pseudophakic retinal detachment

Joakim Thylefors  1 , Rafi Sheikh  1 , Gunnar Jakobsson  2
Affiliations
Observational Study

The effect of axial length on pseudophakic retinal detachment

Joakim Thylefors et al. Acta Ophthalmol. 2025 Mar.

Abstract

Purpose: The purpose of the study was to analyse the surgical management and outcome regarding axial length in the population affected by pseudophakic retinal detachment (PRD) 2015-2020.

Method: The patients included were from an observational cohort study of patients undergoing cataract surgery in the region of Skåne during 2015-2017. Data were retrieved from the Swedish National Cataract Register and cross-referenced with cases of PRD in the same region from 2015 to 2020. The surgical method used and findings at follow-up were recorded. The patients were stratified according to axial length (AL) to <25 mm, 25 ≤ n < 26.5 mm and ≥26.5 mm. The main outcome was primary success with one surgery apart from silicone oil removal. The secondary outcome was postoperative visual acuity.

Results: In the whole study group of 58 624 cases, complete follow-up data were available for 288 eyes. The median follow-up time was 324 days, and primary operation was successful in 82.9% of these cases. The median visual acuity was 0.31 (LogMAR). In the stratification those with AL < 25 mm had a primary success of 75.8%, AL 25 ≤ n < 26.5 mm of 87.9% and ≥26.5 mm of 95.8%.

Conclusions: The primary anatomical success was 82.9% in the whole group of PRD but with stratification they had an increasing number of primary success with longer AL.

Keywords: axial length; cataract surgery; myopia; retinal detachment.

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Figures

FIGURE 1
FIGURE 1
Boxplot with axial length in mm before the cataract surgery.
See this image and copyright information in PMC

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