Retinal detachment after cataract extraction in myopic eyes.
OBJECTIVE
To determine the incidence of retinal detachment (RD) after cataract extraction in people 40 years of age or older with axial myopia (i.e., axial length > or = 25.5 mm).


METHODS
Fifteen Danish eye clinics.


METHODS
Two hundred forty-five eyes had cataract extraction performed at 15 eye clinics; 237 eyes had extracapsular cataract extraction (ECCE) and 8 eyes, intracapsular cataract extraction (ICCE). Postoperative data were reported by the practicing ophthalmologists. Mean follow-up was 27 months (range 14 to 32 months).


RESULTS
Five RDs occurred in the 245 eyes (2.0%). Excluding the ICCE cases and the two cases of combined cornea transplantation and ECCE, RD occurred in 4 of the 235 eyes that had ECCE (1.7%). The incidence after ECCE with posterior chamber lens implantation was 1.4%. Complete postoperative status was reported on 158 eyes. Forty-eight eyes (30.4%) had a neodymium:YAG capsulotomy and 3 (6.0%) developed an RD 1, 3.5, and 21 months after the capsulotomy.


CONCLUSIONS
The RD incidence after ECCE with posterior chamber lens implantation was low but higher than that in unselected populations. The incidence increased after laser capsulotomy.
Nissen
K R
KR
Fuchs
J
J
Goldschmidt
E
E
Andersen
C U
CU
Bjerrum
K
K
Corydon
L
L
Degn
T
T
Eisgart
F
F
Henning
V
V
Jensen
J E
JE
Krogh
E
E
Lowes
M
M
Mortensen
K
K
Nielsen
C H
CH
Olsen
T
T
Storr-Paulsen
A
A
Sørensen
T B
TB
Winther-Nielsen
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000009:adverse effects*; D003718:Denmark / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000601:surgery; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000150:complications*; D011183:Postoperative Complications / Q000601:surgery; D011446:Prospective Studies; D012163:Retinal Detachment / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery