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Long-term attachment rates high in pseudophakic retinal detachment
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HELSINKI, Finland — Anatomic and functional outcomes of pseudophakic retinal detachment are not influenced by the presence of a posterior capsulotomy, according to a study here. In addition, a high percentage of pseudophakic retinal detachments remain attached long term after reattachment surgery, the study found.
Researchers at the Helsinki University Central Hospital retrospectively reviewed 101 consecutive patients who had undergone uncomplicated extracapsular cataract extraction and IOL implantation and subsequently developed rhegmatogenous retinal detachment.
At the time retinal detachment occurred, 55 eyes had an intact posterior capsule and 46 had had laser posterior capsulotomy (LCT). Best corrected visual acuities before and after retinal surgery were comparable for eyes with and without LCT. Retinal reattachment was achieved after one procedure in 75 eyes, after two procedures in 98 eyes and with three to five procedures in all eyes. The retina remained attached long-term in 92 eyes. Redetachment rates were comparable for eyes with and without LCT. Overall, 80% of patients were satisfied or very satisfied with their binocular vision.
The study is published in the August issue of Ophthalmology.