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RD, recurrent RD rates similar after phaco

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The rate of recurrent retinal detachment after phacoemulsification in eyes that had previous retinal detachment surgery was similar to the rate of new cases in eyes that did not have retinal detachment before phaco, according to a Japanese study.

Chizuka Igarashi, MD, and colleagues studied 96 eyes of 90 consecutive patients who underwent phaco after previous retinal detachment (RD) surgery. A second group of 51 fellow eyes that did not have RD surgery but did undergo phaco served as controls. RD recurrence rates, visual acuity, complications and Nd:YAG capsulotomy rate were examined.

Within the RD group, recurrent RD after phaco occurred in two patients; three eyes in the control group developed RD postoperatively. The final mean visual acuity in the RD group was significantly worse than in the control group (P = .0099).

Posterior capsule opacification developed in 29 eyes (30.2%) of the eyes in the RD group and in 11 eyes (21.6%) in the control group, the researchers said. Of the eyes that required a capsulotomy, 18 had a PMMA IOL implanted and seven had an acrylic IOL.

The study is published in the July issue of Journal of Cataract & Refractive Surgery.