title: Retinal detachment complicating scleral-sutured posterior chamber intraocular lens surgery.
abstract: Although retinal detachment has been reported in association with sutured posterior chamber intraocular lenses (PCIOL), detailed analysis of the pathogenesis, clinical features and risk factors is lacking. Thirty-nine patients who had undergone surgery for scleral-sutured PCIOL were therefore reviewed, revealing 8 patients with associated retinal tears or detachments. Retinal breaks resulted from vitreous incarceration by the intraocular suture (6), post-operative vitreous detachment (1), preretinal manipulation of the dislocated PCIOL (1), surgical entry-sites (1) and surgical induction of posterior vitreous detachment (1). An axial length > 25 mm was associated with the development of retinal tears (p < 0.05, Fisher's exact test). All patients had attached retina with median visual acuity of 6/12 (range 6/6 to CF) at last follow-up (median 15 months, range 1-41 months). In patients requiring a pars plana approach, careful attention to the posterior hyaloid face, basal gel, surgical entry-sites and suture tract is recommended to reduce the risk of retinal detachment associated with scleral-sutured PCIOL procedures.
authors.affiliation: Vitreo-Retinal Service, Moorfields Eye Hospital, London, UK.
authors.forename: R D
authors.initials: RD
authors.lastname: Bourke
authors.forename: P J
authors.initials: PJ
authors.lastname: Gray
authors.forename: P H
authors.initials: PH
authors.lastname: Rosen
authors.forename: R J
authors.initials: RJ
authors.lastname: Cooling
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000209:etiology*; D012167:Retinal Perforations / Q000209:etiology*; D012189:Retrospective Studies; D012307:Risk Factors; D012590:Sclera / Q000601:surgery; D013537:Sutures / Q000009:adverse effects; D014792:Visual Acuity