Journal of Cataract & Refractive Surgery
Volume 30, Issue 7 , Pages 1412-1417, July 2004

Phacoemulsification after retinal detachment surgery☆

  • Chizuka Igarashi, MD

      Affiliations

    • Hayashi Eye Hospital, Fukuoka, Japan
    • ,
  • Hideyuki Hayashi, MD

      Affiliations

    • Corresponding Author InformationReprint requests to Ken Hayashi, MD, Hayashi Eye Hospital, 4-7-13 Hakataekimae, Hakata-ku, Fukuoka 812-0011, Japan.
    • Hayashi Eye Hospital, Fukuoka, Japan
    • Department of Ophthalmology, School of Medicine, Fukuoka University, Fukuoka, Japan
    • ,
  • Ken Hayashi, MD

      Affiliations

    • Hayashi Eye Hospital, Fukuoka, Japan
    • Department of Ophthalmology, School of Medicine, Fukuoka University, Fukuoka, Japan

Accepted 25 November 2003.

Abstract 

Purpose: To evaluate the outcomes of phacoemulsification in eyes that had previous retinal detachment (RD) surgery.

Setting: Hayashi Eye Hospital, Fukuoka, Japan.

Methods: Ninety-six eyes of 90 consecutive patients who had phacoemulsification after previous RD surgery (RD group) were included. Fifty-one fellow eyes that had not had RD surgery but did have phacoemulsification served as controls (control group). Recurrence of RD, visual acuity, complications, and the neodymium:YAG (Nd:YAG) laser capsulotomy rate were examined.

Results: Recurrent RD after phacoemulsification occurred in 2 eyes (2.1%) in the RD group. Three eyes (5.9%) in the control group developed RD postoperatively. The incidence of RD was not significantly different between the 2 groups (P = .3416). The mean final visual acuity in the RD group was 20/30, significantly worse than in the control group (P = .0099). Posterior capsule opacification developed in 29 eyes (30.2%) in the RD group and 11 eyes (21.6%) in the control group; the difference between the groups was not significant. Eighteen eyes (43.9%) that had implantation of a poly(methyl methacrylate) (PMMA) intraocular lens (IOL) and 7 eyes (6.6%) that received an acrylic IOL had an Nd:YAG capsulotomy; the capsulotomy rate was significantly higher in eyes with a PMMA IOL than in eyes with an acrylic IOL (P<.0001).

Conclusions: The rate of recurrent RD after phacoemulsification in eyes that had previous RD surgery was similar to that of new occurrence of RD in fellow eyes without RD before phacoemulsification. Because the Nd:YAG capsulotomy rate was lower in eyes with acrylic IOLs than in eyes with PMMA IOLs, acrylic IOLs are recommended for eyes at high risk for RD.

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☆ None of the authors has a financial or proprietary interest in any material or method mentioned.

PII: S0886-3350(03)01141-6

doi:10.1016/j.jcrs.2003.12.024

Journal of Cataract & Refractive Surgery
Volume 30, Issue 7 , Pages 1412-1417, July 2004

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