Clinical Analysis of Retinal Detachment Following Extracapsular Cataract Extraction

ABSTRACT

The authors reviewed retrospectively preoperative ocular clinical characteristics, operative methods, postoperative anatomical results and visual rehabilitation for the 24 eyes, retinal detachments following extracapsular cataract extraction (ECCE). The most, common preoperative visual symptom was decreased vision, 19 eyes (79%) and the significant preoperative ocular findings were vitreous opacity 14 eyes (58%) and posterior capsular rupture 14 eyes (58%). The horseshoe tear 11 eyes (46%), atrophic hole 9 eyes (38%) were more comnnonly encountered, and the retinal breaks were principally located in the superotemporal quadrant in 18 eyes (75%), the superonasal quadrant. in 12 eyes (42%). Also, macular detachment 19 eyes (79%) was found most frequently with retinal detachment eyes. The overall anatomic success rate of surgical treatment of retinal detachment after ECCE was 21 eyes (88%). Especially, the visual acuity improved two line or more in II eyes (85%) with posterior chamber intraocular lens (PC-IOL) implantation group. We suggest that the early detection of retinal detachment. after ECCE with complications and proper operations are important to inaprove the postoperative anatomic success rate and the postoperative visual prognosis.