Retinal detachment following congenital cataract surgery. I. Preoperative findings in 114 eyes
H. Toyofuku, T. Hirose and C. L. Schepens
One hundred fourteen eyes of patients with retinal detachment occurring
after congenital cataract surgery were studied. Retinal detachment was
typified by high incidences of men, myopia, preference for the second and
fourth decades of life, and a fairly long interval after cataract surgery.
Frequently found were the following: (1) undetected retinal breaks, (2)
high incidences of small oval or round holes in the upper nasal quadrant
near the ora serrata, (3) retinal detachment in more than one quadrant, and
(4) extensive vitreous and preretinal traction. Preoperative examination
was often hampered by a small, bound-down pupil, nystagmus, extreme
photophobia, and an inability to move the eye in desired directions. The
major factor in the pathogenesis of retinal detachment after congenital
cataract surgery appears to be chronic vitreoretinal traction in the
anterior vitreous caused by cataract removal.
