Relationship between Retinal Detachment and Biometry in 4262 Cataractous Eyes
Presented at: Dutch Ophthalmic Society 197th Annual Meeting, April, 2003; Rotterdam, The Netherlands.
Received 8 September 2004; accepted 31 October 2005. published online 07 March 2006.
Purpose
To assess risk factors for retinal detachment (RD) in eyes that previously underwent cataract surgery.
Design
Retrospective cohort study.
Participants
Four thousand two hundred sixty-four eyes of 3094 patients who underwent extracapsular cataract extraction with intraocular lens (IOL) implantation at the Department of Ophthalmology, Erasmus MC, University Medical Center Rotterdam.
Methods
From January 1, 1993, through March 31, 1999, 3094 patients (4262 cases) of extracapsular cataract extraction with IOL implantation were enrolled. Through review of ophthalmic patient records, the role of preoperative and intraoperative data as well as neodymium:yttrium–aluminum–garnet (Nd:YAG) capsulotomy was assessed with respect to development of an RD.
Of 4262 eyes that underwent cataract extraction, 3921 eyes (2794 patients) were available for analysis. Twenty-two patients experienced RD after surgery, resulting in an overall cumulative incidence of 0.62%. Multivariate binary logistic regression analyses showed the following factors to be associated with an increased risk of RD after cataract surgery: an accidental posterior capsular rupture at the time of surgery (odds ratio [OR] = 16.26; P<0.001), an increased AL (OR = 1.25; P = 0.013), and a deeper anterior chamber (OR = 4.02; P = 0.016). Older age was found to be a protective factor for the development of RD (OR = 0.95; P = 0.003).
Conclusions
Cataract surgery at a young age with an accidental posterior capsular rupture and a deeper ACD are the most important predisposing conditions for pseudophakic RD after cataract surgery. The overall cumulative incidence of 0.62% for postoperative RD is low.
1Department of Ophthalmology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands
2Rotterdam Eye Hospital, Rotterdam, The Netherlands
Correspondence to Gregorius P. M. Luyten, MD, PhD, Department of Ophthalmology, Erasmus MC, University Medical Center Rotterdam, Dr Molewaterplein 40, Office Ba 122, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands
Manuscript no. 2004-84.
The authors have no conflicts of interest.
Supported by the Department of Ophthalmology and the Gerrit Jan Mulder Foundation of the Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
ABSTRACT