title: The risk of retinal detachment in high myopia after small incision coaxial phacoemulsification.
abstract: OBJECTIVE
  Report incidence and risk of retinal detachment (RD)after coaxial phacoemulsification in high myopic patients.
  
  
  METHODS
  Retrospective consecutive interventional study.
  
  
  METHODS
  
  
  
  METHODS
  Vissum-Instituto Oftalmologico de Alicante, Spain. PATIENT OR STUDY POPULATION: A total of 439 eyes from 274 high myopic patients with spherical equivalent (SE) >or= 6.00 diopters (D) or axial length >or= 26.00 mm. Mean age 62.2, axial length 27.88 +/- 2.11 mm (26.0 mm to 37.9 mm), SE -13.3 +/- 5.6 (-6.00 D to -46.0 D).
  
  
  METHODS
  Incidence of RD, vitreous loss, and neodymium yttrium aluminum garnet (Nd:YAG) capsulotomy were evaluated after surgery at one, three, six, and 12 months then annually with mean follow-up 61.5 +/- 29.6 months.
  
  
  RESULTS
  Incidence of RD was 2.7% (12/439 eyes). In eyes with <or= 50 years of age was 3.65% (three eyes) compared with eyes with > 50 years of age was 2.52% (nine eyes). Cumulative risk of RD development by Kaplan-Meier analysis in all patients was 0.47%, 0.71%, 1.71%, 2.59%, and 3.28% at three, six, 15, 48, and 63 months until 105 months, respectively. In eyes <or= 50 years of age: the risk increases to 1.23% at three months and 4.46% at 63 months until 147 months, whereas eyes with > 50 years of age was 0.58% and 2.96% at six and 52 months until 118 months after cataract surgery, respectively. No significant correlation was found between the occurrence of RD and vitreous loss (P <or= .33) or Nd:YAG capsulotomy (P <or= .50 Chi-square test).
  
  
  CONCLUSIONS
  The incidence of RD in high myopic patients after coaxial phacoemulsification is 2.7%. A trend toward an increased incidence and risk in patients younger than 50 years of age was detected in this study.
authors.affiliation: Vissum Instituto, Oftalmológico de Alicante, Alicante, Spain; Miguel Hernández University, Division of Ophthalmology, Medical School, Alicante, Spain.
authors.forename: Jorge L
authors.initials: JL
authors.lastname: Alio
authors.forename: José M
authors.initials: JM
authors.lastname: Ruiz-Moreno
authors.forename: Mohamed H
authors.initials: MH
authors.lastname: Shabayek
authors.forename: Francisco L
authors.initials: FL
authors.lastname: Lugo
authors.forename: Ayman M
authors.initials: AM
authors.lastname: Abd El Rahman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D015994:Incidence; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000601:surgery; D019654:Lens Implantation, Intraocular; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000150:complications*; D018918:Phacoemulsification / Q000009:adverse effects*; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000209:etiology*; D012189:Retrospective Studies; D012307:Risk Factors