Retinal detachment after cataract extraction and refractive lens exchange in highly myopic patients

To assess the refractive effects and incidence of postoperative complications in patients with high myopia after cataract extraction. University Eye Clinic, Trieste, Italy. This noncomparative retrospective study comprised all eyes (N = 388) having cataract extraction and implantation of an intraocu...

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Published inJournal of cataract and refractive surgery Vol. 29; no. 1; pp. 39 - 44
Main Authors Ravalico, Giuseppe, Michieli, Cinzia, Vattovani, Odilla, Tognetto, Daniele
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 2003
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Abstract To assess the refractive effects and incidence of postoperative complications in patients with high myopia after cataract extraction. University Eye Clinic, Trieste, Italy. This noncomparative retrospective study comprised all eyes (N = 388) having cataract extraction and implantation of an intraocular lens with a power less than 11.0 diopters (D) between 1986 and 1999. The preoperative and postoperative refractions; preoperative, postoperative, and final best corrected visual acuity (BCVA); and postoperative complications were analyzed. The mean follow-up was 47.16 months ± 32.83 (SD) (range 8 to 146 months). Phacoemulsification was performed in 237 eyes, extracapsular cataract extraction in 147 eyes, and intracapsular cataract extraction in 4 eyes. The mean preoperative BCVA was 0.20 ± 0.21 and the mean postoperative BCVA, 0.58 ± 0.32. At the final evaluation, the mean BCVA was 0.50 ± 0.33. The mean refraction was −15.95 ± 5.86 D preoperatively and −2.00 ± 1.62 D postoperatively. One eye (0.26%) developed a retinal detachment postoperatively. Of the 127 eyes (32.73%) having a neodymium:YAG laser capsulotomy for posterior capsule opacification, 1 had a macular retinal hole. Posterior detachment of the vitreous occurred in 78.6% of cases. Peripheral retinal photocoagulation was required in 8 cases postoperatively. Refractive lens exchange led to good functional results and a low incidence of postoperative complications and can thus be regarded as a viable technique to correct high myopia associated with cataract. However, further study is required before it can be routinely recommended for the correction of high myopia in eyes with a transparent crystalline lens.
AbstractList To assess the refractive effects and incidence of postoperative complications in patients with high myopia after cataract extraction. University Eye Clinic, Trieste, Italy. This noncomparative retrospective study comprised all eyes (N = 388) having cataract extraction and implantation of an intraocular lens with a power less than 11.0 diopters (D) between 1986 and 1999. The preoperative and postoperative refractions; preoperative, postoperative, and final best corrected visual acuity (BCVA); and postoperative complications were analyzed. The mean follow-up was 47.16 months ± 32.83 (SD) (range 8 to 146 months). Phacoemulsification was performed in 237 eyes, extracapsular cataract extraction in 147 eyes, and intracapsular cataract extraction in 4 eyes. The mean preoperative BCVA was 0.20 ± 0.21 and the mean postoperative BCVA, 0.58 ± 0.32. At the final evaluation, the mean BCVA was 0.50 ± 0.33. The mean refraction was −15.95 ± 5.86 D preoperatively and −2.00 ± 1.62 D postoperatively. One eye (0.26%) developed a retinal detachment postoperatively. Of the 127 eyes (32.73%) having a neodymium:YAG laser capsulotomy for posterior capsule opacification, 1 had a macular retinal hole. Posterior detachment of the vitreous occurred in 78.6% of cases. Peripheral retinal photocoagulation was required in 8 cases postoperatively. Refractive lens exchange led to good functional results and a low incidence of postoperative complications and can thus be regarded as a viable technique to correct high myopia associated with cataract. However, further study is required before it can be routinely recommended for the correction of high myopia in eyes with a transparent crystalline lens.
To assess the refractive effects and incidence of postoperative complications in patients with high myopia after cataract extraction. University Eye Clinic, Trieste, Italy. This noncomparative retrospective study comprised all eyes (N = 388) having cataract extraction and implantation of an intraocular lens with a power less than 11.0 diopters (D) between 1986 and 1999. The preoperative and postoperative refractions; preoperative, postoperative, and final best corrected visual acuity (BCVA); and postoperative complications were analyzed. The mean follow-up was 47.16 months +/- 32.83 (SD) (range 8 to 146 months). Phacoemulsification was performed in 237 eyes, extracapsular cataract extraction in 147 eyes, and intracapsular cataract extraction in 4 eyes. The mean preoperative BCVA was 0.20 +/- 0.21 and the mean postoperative BCVA, 0.58 +/- 0.32. At the final evaluation, the mean BCVA was 0.50 +/- 0.33. The mean refraction was -15.95 +/- 5.86 D preoperatively and -2.00 +/- 1.62 D postoperatively. One eye (0.26%) developed a retinal detachment postoperatively. Of the 127 eyes (32.73%) having a neodymium:YAG laser capsulotomy for posterior capsule opacification, 1 had a macular retinal hole. Posterior detachment of the vitreous occurred in 78.6% of cases. Peripheral retinal photocoagulation was required in 8 cases postoperatively. Refractive lens exchange led to good functional results and a low incidence of postoperative complications and can thus be regarded as a viable technique to correct high myopia associated with cataract. However, further study is required before it can be routinely recommended for the correction of high myopia in eyes with a transparent crystalline lens.
PURPOSETo assess the refractive effects and incidence of postoperative complications in patients with high myopia after cataract extraction.SETTINGUniversity Eye Clinic, Trieste, Italy.METHODSThis noncomparative retrospective study comprised all eyes (N = 388) having cataract extraction and implantation of an intraocular lens with a power less than 11.0 diopters (D) between 1986 and 1999. The preoperative and postoperative refractions; preoperative, postoperative, and final best corrected visual acuity (BCVA); and postoperative complications were analyzed. The mean follow-up was 47.16 months +/- 32.83 (SD) (range 8 to 146 months).RESULTSPhacoemulsification was performed in 237 eyes, extracapsular cataract extraction in 147 eyes, and intracapsular cataract extraction in 4 eyes. The mean preoperative BCVA was 0.20 +/- 0.21 and the mean postoperative BCVA, 0.58 +/- 0.32. At the final evaluation, the mean BCVA was 0.50 +/- 0.33. The mean refraction was -15.95 +/- 5.86 D preoperatively and -2.00 +/- 1.62 D postoperatively. One eye (0.26%) developed a retinal detachment postoperatively. Of the 127 eyes (32.73%) having a neodymium:YAG laser capsulotomy for posterior capsule opacification, 1 had a macular retinal hole. Posterior detachment of the vitreous occurred in 78.6% of cases. Peripheral retinal photocoagulation was required in 8 cases postoperatively.CONCLUSIONRefractive lens exchange led to good functional results and a low incidence of postoperative complications and can thus be regarded as a viable technique to correct high myopia associated with cataract. However, further study is required before it can be routinely recommended for the correction of high myopia in eyes with a transparent crystalline lens.
Author Tognetto, Daniele
Ravalico, Giuseppe
Vattovani, Odilla
Michieli, Cinzia
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Issue 1
Keywords High
Human
Postoperative
Retinal detachment
Cataract
Retinopathy
Iatrogenic
Vision disorder
Myopia
Incidence
Eye disease
Concomitant disease
Lens disease
Treatment
Surgery
Refractive error
Complication
Lens
Extraction
Posterior chamber
Intraocular lens
Anterior segment disease
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PublicationTitle Journal of cataract and refractive surgery
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Snippet To assess the refractive effects and incidence of postoperative complications in patients with high myopia after cataract extraction. University Eye Clinic,...
PURPOSETo assess the refractive effects and incidence of postoperative complications in patients with high myopia after cataract extraction.SETTINGUniversity...
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SubjectTerms Adult
Aged
Aged, 80 and over
Biological and medical sciences
Cataract - complications
Cataract Extraction - adverse effects
Female
Humans
Lenses, Intraocular - adverse effects
Light Coagulation
Male
Medical sciences
Middle Aged
Myopia - complications
Myopia - physiopathology
Refraction, Ocular
Retina - surgery
Retinal Detachment - etiology
Retinal Perforations - etiology
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Treatment Outcome
Vitreous Detachment - etiology
Title Retinal detachment after cataract extraction and refractive lens exchange in highly myopic patients
URI https://dx.doi.org/10.1016/S0886-3350(02)01508-0
https://www.ncbi.nlm.nih.gov/pubmed/12551665
https://search.proquest.com/docview/72975334
Volume 29
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