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Eye (Lond). 2012 Aug;26(8):1114-21. doi: 10.1038/eye.2012.112. Epub 2012 Jun 8.

Characteristics of rhegmatogenous retinal detachment in pseudophakic and phakic eyes.

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  • 1Department of Ophthalmology, St Thomas' Hospital, London, UK.

Abstract

AIMS:

To investigate whether pseudophakic and phakic rhegmatogenous retinal detachment (RRD) patterns differ.

METHODS:

Retrospective review of electronic database of patients, aged 50 years or over, presenting to our vitreoretinal service. Data included baseline characteristics, digital drawings, and outcomes. Retinal drawings were analysed in a masked fashion for site, size, and number of retinal breaks. Comparisons were made between the following groups and subgroups: pseudophakic eyes, phakic eyes, phakic eyes with cataract, and phakic eyes without cataract.

RESULTS:

Of 500 eyes included, 146 were pseudophakic; 177 of the phakic eyes had cataract. The following were significant by univariate analysis: pseudophakic patients were older than phakic patients in general, but the same age as patients with cataract; in the pseudophakic group, there were lower proportions of females and of patients presenting with vitreous haemorrhage or with large or superotemporal breaks; higher proportions of pseudophakic eyes had small breaks and inferonasal breaks. Some differences remained significant when comparing pseudophakia eyes with cataract. Multivariate analysis comparing pseudophakia with phakia confirmed a lower chance in pseudophakia of large breaks, vitreous haemorrhage and superotemporal breaks, but higher chance of detached inferior breaks. Some variables were age dependent.

CONCLUSION:

Differences were found between pseudophakic and phakic RRD patterns. These suggest special pathogenetic mechanisms in pseudophakic retinal detachment, which could help explain increased incidences of RRD after cataract surgery.

PMID:
22678050
[PubMed - indexed for MEDLINE]
PMCID:
PMC3420045
Free PMC Article
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