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Certain vitrectomy techniques can reduce rate of retinal detachment

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MIAMI — The rate of retinal detachment reported after vitrectomy for retained lens material after phacoemulsification can be minimized using certain standard surgical techniques, a recent study found. Eyes at a higher risk may benefit from more frequent postoperative examinations.

William E. Smiddy, MD, and colleagues here at Bascom Palmer Eye Institute conducted a retrospective chart review of 100 eyes that underwent vitrectomy for retained lens material after phacoemulsification and who were given postoperative exams at 3 months or later. Main outcome measures included prevalence of coexisting retinal detachment in eyes with retained lens material, the incidence of retinal detachment or breaks after vitrectomy and final visual acuity (VA).

Using the standard techniques, both preoperative and postoperative retinal detachment rates were 4%. Of the patients, 53% obtained final VA of 20/40 or better.

The study is published in the February issue of American Journal of Ophthalmology.