Retinal detachment after phacoemulsification cataract extraction.
OBJECTIVE
To estimate the incidence of retinal detachment (RD) after phacoemulsification cataract extraction in an unselected group of patients.


METHODS
Herlev University Hospital, Copenhagen, Denmark.


METHODS
This retrospective review comprised 6521 cataract patients who had phacoemulsification over a 3-year period. The incidence of postoperative RD and the risk factors were assessed.


RESULTS
During the 15- to 52-month observation period, 22 cases of RD in 21 patients were observed, with an estimated risk (Kaplan-Meier) of 0.41% (95% confidence limit, 0.25%-0.57%) at 52 months. The results confirmed recognized preoperative risk factors for RD such as an axial length greater than 25.0 mm (P<.001), age younger than 65 years (P<.001), and male sex (P<.02). In 18 eyes, the retina was reattached after 1 operation.


CONCLUSIONS
The incidence of RD after phacoemulsification cataract extraction in an unselected group of patients was low. A long axial length, young age, and male sex were confirmed as risk factors.
Boberg-Ans
Gøril
G
Department of Ophthalmology, Herlev University Hospital, Herlev, Denmark.
Villumsen
Jørgen
J
Henning
Vibeke
V
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects*; D012163:Retinal Detachment / Q000453:epidemiology / Q000209:etiology*; D012189:Retrospective Studies; D018570:Risk Assessment