title: [Retinal detachment in pseudophakia].
abstract: The author evaluates the prevalence and results of surgical treatment of retinal detachment (RD) after implantation of intraocular lenses in a group of 10,185 eyes operated at the First and Second Ophthalmological Clinic from 1988 to the end of 1993. Retinal detachment was observed in 0.4% of artephakic eyes. A striking risk factor for the development of RD was in particular loss of the vitreous body during cataract operation, a previous injury, myopia and YAG capsulotomy. The presence of an intraocular lens did not influence in a substantial way the selection of the surgical procedure. In cases with a complicated finding in the anterior segment and the retina the authors selected more frequently pars plana vitrectomy (PPV) with internal tamponade with an expansive gas or silicone oil (in 44.3% eyes). The retina became attached in 90.4% of the eyes, while in patients operated by cryosurgery anatomical success was achieved in 82.1% of the eyes and in the group operated by PPV with internal tamponade in 100% of the eyes. Functional improvement, as compared with the condition before surgery of RD, was achieved in 48.9% of successfully operated eyes. In the PPV group the authors observed, however, substantially poorer functional results as compared with cryosurgery. In complicated artephakic RD PPV with internal tamponade contributed to a striking improvement of anatomical results but the poorer functional results after PPV in complicated RD provide evidence of a poorer prognosis of artephakic RD, as compared with aphakic ones.
authors.affiliation: I. ocní klinika 1. LF UK, Praha.
authors.forename: J
authors.initials: J
authors.lastname: Dolezalová
authors.forename: I
authors.initials: I
authors.lastname: Karel
authors.forename: P
authors.initials: P
authors.lastname: Bedrich
authors.forename: P
authors.initials: P
authors.lastname: Soucek
authors.forename: D
authors.initials: D
authors.lastname: Reslová
mesh_terms: D000328:Adult; D000368:Aged; D002387:Cataract Extraction; D006801:Humans; D007910:Lenses, Intraocular; D008875:Middle Aged; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*
vernacular_title: Amoce u artefakie.