Incidence of retinal detachment following clear-lens extraction in myopic patients. Retrospective analysis
C. Barraquer, C. Cavelier and L. F. Mejia
Escuela Superior de Oftalmologia, Instituto Barraquer de America, Bogota, Colombia.
OBJECTIVE: A retrospective study was performed to establish the incidence
of retinal detachment among 107 patients (165 eyes) with pathologic myopia
who underwent clear-lens extraction. INTERVENTIONS: The techniques employed
were intracapsular extraction (3.0%), aspiration (59.4%), and extracapsular
extraction (37.6%); average follow-up was 31 months. RESULTS: Retinal
detachment developed in 12 eyes (7.3%) an average (SD) of 30.7 +/- 26.6
months postoperatively; the mean age of these patients was 34 years. We
found a clear association between postoperative YAG laser/surgical
posterior capsulotomy and the incidence of retinal detachment (11% vs 5.5%)
but no association between intraoperative rupture of the posterior capsule
and the ultimate incidence of retinal detachment. The retina was reattached
in nine cases (75%).
