Capsule complication during cataract surgery: Retinal detachment after cataract surgery with capsule complication: Swedish Capsule Rupture Study Group report 4.
OBJECTIVE
To study the incidence, characteristics, and results of retinal detachment (RD) after cataract surgery with a capsule complication.


METHODS
Ten ophthalmic surgery departments in Sweden.


METHODS
In this case-control study, data on cataract surgery cases with a capsule complication (study group) or with no complication (control group) in 2003 were extracted from the Swedish National Cataract Register. Patients with RD during a 3-year follow-up were identified.


RESULTS
The study group comprised 324 patients and the control group, 331 patients. Retinal detachment occurred in 13 study group patients, for a 3-year incidence of 4.0%. In the control group, 1 patient (0.3%) had RD. Multivariate analysis showed an adjusted odds ratio (OR) of 14.8 for RD after capsule complication (95% confidence interval [CI], 1.9-114; P = .01). Subgroup analysis of the study group using a binary logistic regression model showed that male sex (OR, 8.5; 95% CI, 1.7-43.8; P = .001) and lens remnants in the vitreous (OR, 14.4; 95% CI 2.6-78.8; P = .002) were additional risk factors. Axial myopia was significantly associated with an increased risk as a single factor but not as a multiple factor. In general, the final visual outcome for RD after a capsule complication was poor; 3 eyes had a visual acuity of 0.50 or better. Eight eyes (62%) had a final visual acuity worse than 0.10 and 6 eyes, 0.02 or worse.


CONCLUSIONS
The risk for RD after cataract surgery increased significantly when a capsule complication occurred, leading to poor final visual acuity in most cases.
Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal.
Gunnar
G
Jakobsson
Per
P
Montan
Madeleine
M
Zetterberg
Ulf
U
Stenevi
Anders
A
Behndig
Mats
M
Lundström
D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D002386:Cataract / Q000150:complications; D005131:Eye Injuries / Q000191:economics / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications; D007903:Lens Capsule, Crystalline / Q000293:injuries*; D007905:Lens Diseases / Q000191:economics / Q000209:etiology* / Q000601:surgery; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects* / Q000706:statistics & numerical data; D012042:Registries; D012163:Retinal Detachment / Q000209:etiology*; D012189:Retrospective Studies; D018570:Risk Assessment; D013548:Sweden; D014792:Visual Acuity