Pseudophakic retinal detachment

N. Lois, D. Wong

Research output: Contribution to journalArticlepeer-review

129 Citations (Scopus)

Abstract

Pseudophakic retinal detachment is a rare, but potentially serious, complication of cataract surgery. The incidence of pseudophakic retinal detachment following current surgical techniques of cataract extraction, including extracapsular cataract extraction by nuclear expression and phacoemulsification, is lower than that found after intracapsular cataract extraction. The risk of pseudophakic retinal detachment appears to be increased in myopic patients, in those patients in whom vitreous loss had occurred at the time of cataract surgery, and in patients undergoing Nd:YAG posterior capsulotomy. Most cases present to the clinician when the macula is already detached and the central vision is affected. When evaluating patients with pseudophakic retinal detachment, the fundal view is often impaired by anterior or posterior capsular opacification, reflections related to the intraocular lens, or poor mydriasis. Scleral buckling, pneumatic retinopexy, and primary pars plana vitrectomy, with or without combined scleral buckling, are the surgical techniques used to treat pseudophakic retinal detachment. Anatomical success rates are high after vitreo-retinal surgery for pseudophakic retinal detachment, although a smaller proportion of patients recover good vision following surgery.
Original languageEnglish
Pages (from-to)467-487
Number of pages21
JournalSurvey of ophthalmology
Volume48
Issue number5
DOIs
Publication statusPublished - 01 Sep 2003

Bibliographical note

Copyright 2008 Elsevier B.V., All rights reserved.

Fingerprint Dive into the research topics of 'Pseudophakic retinal detachment'. Together they form a unique fingerprint.

Cite this