Incidence of retinal detachment following clear-lens extraction in myopic patients. Retrospective analysis.
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.


METHODS
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%).
Barraquer
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Escuela Superior de Oftalmología, Instituto Barraquer de América, Bogotá, Colombia.
Cavelier
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C
Mejía
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LF
D000328:Adult; D002387:Cataract Extraction / Q000009:adverse effects; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D053685:Laser Therapy / Q000009:adverse effects; D007903:Lens Capsule, Crystalline / Q000601:surgery; D007908:Lens, Crystalline / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000209:etiology*; D012189:Retrospective Studies