Original Article
Clinical analysis of retinal detachment after cataract surgery
Yenan Wang, Yuntao Hu, jian Zhang, Dachuan Liu, Haixia Zhang
Published 2015-07-25
Cite as Chin J Ocul Traum Occupat Eye Dis, 2015, 37(7): 486-491. DOI: 10.3760/cma.j.issn.2095-1477.2015.07.002
Abstract
ObjectiveTo analyze the correlative factors of rhegmatogenous retinal detachment (RRD) after phacoemulsification with intraocular lens implantation.
MethodsThe clinical data of patients with RRD after phacoemulsification with intraocular lens implantation in Xuanwu Hospital and Eye Center of Peking University were retrospectively analyzed. The posterior capsule, retinal detachment, surgery, gender, refraction status and age were statistically analyzed.
ResultsEighty eyes of 80 cases included 49 male cases and 31 female cases. Posterior capsule rupture occurred in 43 eyes including 37 cases (72.09%) of male which was caused by rhegmatogenous retinal detachment (RRD) in 32 eyes and high myopia and RRD in 11 eyes. The choroidal detachment occurred in 7 eyes. Pars plana vitrectomy (PPV) combined with gas tamponade was performed in 22 eyes. PPV combined with silicone oil tamponade was performed in 17 eyes. Sclera buckling (SB) was performed in 4 eyes. Posterior capsule rupture occurred in 37 eyes including with 18 cases (48.65%) of male during which RRD was 25 eyes and high myopia and RRD was 12 eyes. No choroidal detachment happened. PPV combined with gas tamponade was performed in 19 eyes. PPV combined with silicone oil tamponade was performed in 7 eyes, and SB was performed in 11 eyes. The proportion of the RRD combined with choroidal detachment in the posterior capsule rupture eyes was obviously higher than that in the intact posterior capsule eyes. The proportion of PPV in the posterior capsule rupture eyes was obviously higher than that in the intact posterior capsule eye (χ2=5.447, P=0.02). The proportion of PPV with silicone oil in the posterior capsule rupture eyes was obviously higher than that in the intact posterior capsule eyes(χ2=4.025, P=0.045). The proportion of male with posterior capsule rupture was obviously higher than that with intact posterior capsule(χ2=4.606, P=0.032).
ConclusionPosterior capsular rupture could cause more complex and serious retinal detachment, even combined with choroidal detachment. In these cases, PPV and PPV with silicone oil tamponade are always performed. Male patients are more likely to suffer posterior capsule rupture which leads to RRD.
Key words:
Cataract; Phacoemulsification, intraocular lens implantation; Rupture/integrity, posterior capsule; Detachment, retinal; Detachment, choroidal; Vitrectomy
Contributor Information
Yenan Wang
Department of Ophthalmology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
Yuntao Hu
jian Zhang
Dachuan Liu
Haixia Zhang
