[The incidence of retinal detachment after extracapsular cataract extraction in high myopia].
OBJECTIVE
A retrospective study was performed to determine the incidence of retinal detachment after extracapsular cataract extraction in high myopia and the risk factors associated with the occurrence of retinal detachment.


METHODS
Of the 463 patients (463 eyes) who had undergone extracapsular cataract extraction with or without intraocular lenses implant between July 1993 and January 1994, 90 patients companied with high myopia and the others were senior cataract. All patients had been followed up for 27 to 33 months.


RESULTS
One (1.11%) developed retinal detachment in the patients with high myopia, and no retinal detachment occurred in the patients with senior cataract. The difference of the incidence of retinal detachment between two groups were no significant (P > 0.05), More myopic patients underwent Nd:YAG laser capsulotomy (P < 0.05).


CONCLUSIONS
Comparing with intracapsular method, extracapsular cataract extraction decreased the risk of retinal detachment even in the high myopic patients. The risk factors for retinal detachment were young patients, long eye axis and posterior capsulotomy.
Liang
D
D
Zhongshan Ophthamic Center, Sun Yat-sen University of Medical Sciences, Guangzhou 510060, China.
Chen
J
J
D000368:Aged; D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction / Q000009:adverse effects; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000209:etiology*; D012189:Retrospective Studies; D012307:Risk Factors