November 20, 2002
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Aphakia, pseudophakia mask retinal breaks

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ANKARA, Turkey — Aphakia and pseudophakia were the main causes of failure to detect retinal breaks in eyes with retinal detachments, a study here found.

Hülya Kocaoglan, MD, and colleagues at the Ankara Training and Research Hospital analyzed 45 eyes that had retinal detachments without detectable breaks. Aphakia or pseudophakia was identified as the main cause of failure to find the breaks in 22 eyes. In addition, small pupil without any eye disease was the cause in four eyes, corneal opacity in two eyes, cataract in two eyes, vitreous haze in two eyes, choroidal detachment in one eye and unidentified causes in 12 eyes. After a single scleral buckling procedure, anatomical reattachment of the retina was successful in 62.2% of the group; after repeated surgery, final anatomical success rate was 87.2%.

The study is published in the December issue of Clinical and Experimental Ophthalmology.