title: United Kingdom National Ophthalmology Database Study of Cataract Surgery: Report 3: Pseudophakic Retinal Detachment.
abstract: To investigate time to pseudophakic retinal detachment (RD) after cataract surgery with posterior capsule rupture (PCR) to provide an evidence-based guide for postoperative management.
  
  
  
  Retrospective case series.
  
  
  
  A total of 61 907 eyes of 46 824 patients undergoing cataract surgery.
  
  
  
  Subanalysis of the United Kingdom Royal College of Ophthalmologists' National Ophthalmology Database from 13 sites where data on both cataract and vitreoretinal surgery were recorded on the same electronic medical records system. Overall, 61 907 cataract operations were performed between October 2006 and August 2010. Analyses were restricted to cases with at least 3 months of potential postoperative follow-up.
  
  
  
  Pseudophakic RD surgery was performed on 131 eyes of 129 patients (0.21%; 95% confidence interval [CI], 0.18%-0.25%). Of these, 36 were in eyes that had PCR during cataract surgery (3.27%; 95% CI, 2.37%-4.50%) and 95 were in eyes that did not have PCR (0.16%; 95% CI, 0.13%-0.19%). For eyes that progressed to RD surgery, the median time to pseudophakic RD surgery was 44 days for eyes with PCR, and 6.3 months for eyes without PCR. For all eyes (both with and without PCR), pseudophakic RD occurred earlier in cases performed by a trainee cataract surgeon.
  
  
  
  Pseudophakic RD occurs earlier after cataract surgery complicated by PCR. Surgeon grade is a risk factor for pseudophakic RD. Posterior vitreous detachment and RD symptoms should be discussed with patients who undergo cataract surgery and have PCR to facilitate early attendance, and careful dilated postoperative examination for retinal tears is recommended in the first 2 months after surgery.
authors.affiliation: The NIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, and the Institute of Ophthalmology, University College London, London, United Kingdom.
authors.forename: Alexander C
authors.initials: AC
authors.lastname: Day
authors.affiliation: The Royal College of Ophthalmologists' National Ophthalmology Database, London, United Kingdom; Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, United Kingdom.
authors.forename: Paul H J
authors.initials: PHJ
authors.lastname: Donachie
authors.affiliation: The Royal College of Ophthalmologists' National Ophthalmology Database, London, United Kingdom; Bristol Eye Hospital, Bristol, United Kingdom.
authors.forename: John M
authors.initials: JM
authors.lastname: Sparrow
authors.affiliation: The Royal College of Ophthalmologists' National Ophthalmology Database, London, United Kingdom; Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, United Kingdom. Electronic address: robert.johnston3@nhs.net.
authors.forename: Robert L
authors.initials: RL
authors.lastname: Johnston
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000009:adverse effects*; D016208:Databases, Factual; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D057851:Posterior Capsular Rupture, Ocular / Q000209:etiology* / Q000601:surgery; D019591:Pseudophakia / Q000209:etiology*; D012163:Retinal Detachment / Q000209:etiology* / Q000601:surgery; D012189:Retrospective Studies; D012307:Risk Factors; D013222:State Medicine; D013997:Time Factors; D006113:United Kingdom