title: Pseudophakic retinal detachment after phacoemulsification cataract surgery: Ten-year retrospective review.
abstract: OBJECTIVE
  To determine the risk for rhegmatogenous retinal detachment (RRD) after phacoemulsification.
  
  
  METHODS
  Private and public facility, Auckland, New Zealand.
  
  
  METHODS
  A retrospective study of 1793 consecutive patients having cataract surgery by phacoemulsification was performed. Patients younger than 40 years were excluded, as were patients who had cataract surgery after ocular trauma. Patients having cataract surgery combined with other ocular procedures such as keratoplasty, glaucoma drainage surgery, or posterior segment surgery were similarly excluded.
  
  
  RESULTS
  Rhegmatogenous retinal detachment occurred in 1.17% of the patients having cataract surgery. The risk was greater in patients younger than 50 years (5.17%) and less in those older than 70 years (0.64%). The median interval between cataract surgery and development of the retinal detachment was 39 months. The rate of retinal detachment was greater with complicated cataract surgery, but there was no increased risk for those eyes requiring neodymium:YAG laser capsulotomy.
  
  
  CONCLUSIONS
  The overall risk for RRD after cataract surgery by phacoemulsification was small. However, in the younger patient, the risk for pseudophakic detachment was higher. In light of this finding, the requirement for cataract surgery in this group should be reassessed.
authors.affiliation: Department of Ophthalmology, University of Auckland, Auckland, New Zealand.
authors.forename: Matthew
authors.initials: M
authors.lastname: Russell
authors.forename: Brent
authors.initials: B
authors.lastname: Gaskin
authors.forename: Daniel
authors.initials: D
authors.lastname: Russell
authors.forename: Philip John
authors.initials: PJ
authors.lastname: Polkinghorne
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects*; D019591:Pseudophakia / Q000209:etiology*; D012163:Retinal Detachment / Q000209:etiology*; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors