Comparison of visual outcomes after implantation of AtLisa tri 839 MP and Symfony intraocular lenses.

PURPOSE: To compare visual outcomes after implantation of AtLisa tri 839 MP and Symfony intraocular lenses (IOLs). METHODS: All subjects underwent sequential bilateral cataract extraction with AtLisa tri 839 MP or Symfony IOL implantation. The design is prospective case series. Each group consists of 20 patients (40 eyes). At 1 year postoperatively, the following parameters were analysed: binocular uncorrected visual acuity (log MAR): for distance (UDVA) at 4 m, for intermediate distances (UIVA) at 60, 70, 80 cm and for near (UNVA) at 40 cm, defocus curve, mesopic and photopic contrast sensitivities (CSs), spectacle independence, visual function test questionnaire modified VFQ-25), photopic phenomena and postoperative complications. RESULTS: In the AtLisa tri 839 MP group, the mean binocular UNVA and UIVA were significantly better than in the Symfony group (UNVA: - 0.01 ± 0.04 vs. 0.21 ± 0.15; p = 0.000; 60 cm UIVA: - 0.01 ± 0.04 vs. 0.09 ± 0.09, p = 0.001; 70 cm UIVA - 0.05 ± 0.06 vs. 0.11 ± 0.08, p = 0.002; 80 cm UIVA - 0.01 ± 0.06 vs. 0.15 ± 0.08, p = 0.019). There were no significant between-group differences in the mean binocular UDVA and CS, with one exception: the mean binocular distance CS (18 cpd) under mesopic conditions was significantly better in the Symfony group than in the AtLisa tri 839 MP group (1.39 ± 0.22 vs. 1.17 ± 0.27; p = 0.015). The defocus curve analysis revealed significant between-group differences at vergences of 2.0 to - 4.0 D (p < 0.05), except for 2.0, 1.0, 0 and - 1.5. All subjects in AtLisa tri 839 MP group and 18 subjects (90%) in Symfony group were spectacle independent. Patients from both groups highly rated their overall vision quality in the VFQ-25 (1.67 ± 0.47 vs. 1.85 ± 0.5 in the Symfony and AtLisa tri 839 MP group, respectively, p = NS). The scores for daytime driving (1.00 ± 0.00 vs. 1.21 ± 0.36; p = 0.002), night driving (1.57 ± 0.55 vs. 2.13 ± 1.15; p = 0.027) and difficult situation driving (1.14 ± 0.31 vs. 1.53 ± 0.56; p = 0.049) were significantly better in the AtLisa tri 839 MP group than in the Symfony group. The incidence and perception level of halo and glare were significantly reduced (p = 0.00) in the Symfony group as compared to the AtLisa tri 839 MP group. The postoperative course was uneventful in all subjects. CONCLUSIONS: Visual outcomes achieved with both IOLs are comparable. In both groups, 90% of patients achieved spectacle independence. Whereas the AtLisa tri 839 MP IOL implantation was associated with slightly better intermediate distance VA and significantly better near VA, photic phenomena were less perceived by patients with Symfony IOLs.

XEN Gel Stent in the management of primary open-angle glaucoma.

PURPOSE: To assess the efficacy and safety of the XEN Gel Stent in patients with primary open-angle glaucoma. MATERIALS AND METHODS: Twenty eyes of 17 patients (6 males, 11 females) with primary open-angle glaucoma were implanted with XEN Gel Stent. The following data were ascertained in each participant at baseline and at 1, 3, 6, 9 and 12 months following implanting procedure: intraocular pressure, number of anti-glaucoma medications, retinal sensitivity (PS 24/2 w/w), pattern electroretinogram (ISCEV standard), as well as the number of complications. RESULTS: The mean intraocular pressure reduction in a 1-year follow-up was 18% (21.56 vs. 17.69 mmHg, p < 0.001). The mean number of anti-glaucoma medications was reduced from 3.2 to 1.6 (p = 0.001). The PERG parameters at baseline and at 12 months postoperatively included a stable amplitude of P50 (2.55 µV vs. 2.65 µV, p = 0.024) and N95 (3.45 µV vs. 3.38 µV, p = ns) waves. The delta N95 and delta P50 amplitudes remained stable over the follow-up period (p = ns). The mean deviation (MD) of PS 24/2 was - 6.54 dB vs. - 8.43 dB, p = ns, whereas the pattern standard deviation (PSD) was 6.18 dB vs. 6.91 dB, p = ns. Transient hypotony within the first postoperative week occurred in 18 eyes (90%), whereas hyphema occurred in two eyes (10%). Needle revision of a filtration bleb was performed in five eyes (25%). CONCLUSIONS: The XEN Gel Stent enables significant reduction in intraocular pressure with very low complication rates. It ensures a stabilization of the retinal function as established with the PERG.

Comparison of 27-gauge versus 25-gauge vitrectomy results in patients with epiretinal membrane: 6-month follow-up.

PURPOSE: To compare the 27G versus 25G vitrectomy in patients with epiretinal membrane (ERM). PATIENTS AND METHODS: Sixty pseudophakic eyes of 60 consecutive patients treated by pars plana vitrectomy (PPV) using 27G (30 eyes) or 25G (30 eyes) were prospectively evaluated including eye's inflammation, surgery time, ERM + ILM removal time and complications. Additionally, 1, 3, 7, 14, 30, 90 and 180 days after PPV, the following were estimated: intraocular pressure (IOP), sclerotomy wound closure time, distance best corrected visual acuity (DBCVA), foveal macular thickness (FMT) and surgically induced astigmatism (SIA). RESULTS: The eye's inflammation resolved within 30 days after surgery in both groups. The surgery and ERM + ILM times were longer in the 27G group (p ≤ 0.02). The most common postoperative complication was hypotony in both groups, more common in 25G group (23.3% vs. 10% of eyes). In 27G group, the mean IOP prior to 180 days postoperatively was higher (p < 0.05) and the sclerotomy wound closure time was shorter (p < 0.001). Mean DBCVA values (7, 14, 30 days after surgery) were significantly better in 27G group (p < 0.001). The mean FMT values were similarly and significantly reduced in both groups 1 day postoperatively (p < 0.05) as compared to preoperative values and then stabilized during follow-up. Mean SIA was lower in 27G group 30, 90 and 180 days after surgery (p < 0.001). CONCLUSION: The use of 27G PPV in patients with ERM significantly reduced sclerotomy wound closure time and surgically induced astigmatism, better stabilized intraocular pressure and allowed to achieve faster visual acuity improvement, as compared to 25G PPV.

The RELIEF study: Tolerability and efficacy of preservative-free latanoprost in the treatment of glaucoma or ocular hypertension.

PURPOSE:: To assess tolerability and efficacy following a switch from benzalkonium chloride-latanoprost to preservative-free latanoprost in patients with glaucoma or ocular hypertension. METHODS:: A total of 140 patients with glaucoma or ocular hypertension controlled with benzalkonium chloride-latanoprost for at least 3 months were switched to treatment with preservative-free latanoprost. Assessments were made on days 15, 45, and 90 (D15, D45, and D90) and included best-corrected visual acuity, intraocular pressure, slit lamp examination, fluorescein staining, tear film break-up time, patient symptom evaluation, and subjective estimation of tolerability. RESULTS:: Mean best-corrected visual acuity remained unchanged during the study. Mean intraocular pressure compared with baseline (D0) remained stable throughout the study (D0, 15.9 mmHg (standard deviation = 2.6); D90, 15.3 mmHg (standard deviation = 2.4); p < 0.006). Tear film break-up time improved or remained unchanged relative to baseline in 92% of patients at D45 and in 93% at D90. Moderate-to-severe conjunctival hyperemia was seen in 56.8% of patients at D0, but this figure decreased to 13.7%, 2.2%, and 1.6% at D15, D45, and D90, respectively. Subjective assessment of tolerability (0-10 scale) indicated improvement with change of therapy (mean score: 5.3 (standard deviation = 2.2) at D0 versus 1.9 (standard deviation = 1.7) at D90; p < 0.0001). CONCLUSION:: Preservative-free latanoprost has at least the same intraocular pressure-lowering efficacy as benzalkonium chloride-latanoprost, with a better tolerability profile. This may translate into greater control of treatment and improved quality of life.

Clinical results after microincision biaxial cataract surgery and implantation of an Incise intraocular lens.

PURPOSE: To evaluate clinical outcomes after uncomplicated microincision biaxial cataract surgery and implantation of Incise intraocular lens (IOL). METHODS: This study included 47 eyes of 29 patients (mean age 62.2 ± 8.6 years), who underwent 1.4-mm biaxial cataract surgery with implantation of the Incise IOL (Bausch and Lomb). At third month, surgically induced astigmatism (SIA) was calculated. Three, 6 and 12 months postoperatively, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), corrected near visual acuity (CNVA) LogMAR ETDRS, spherical equivalent refraction (SER), photopic distance corrected contrast sensitivity (CS) with and without glare (85 cd/m2) (CSV-1000) were assessed. One year after surgery, late complications were assessed and subjects were questioned for subjective symptoms. RESULTS: Mean of SIA was equal 0.29 ± 0.16 D. Three months postoperatively: mean UDVA improved from 0.83 to 0.04 (p < 0.001), CDVA from 0.58 to -0.05 (p < 0.001) and CNVA from 0.58 to -0.02 (p < 0.001) and all were stable during 1-year follow-up. Three months postoperatively, the mean SER was equal 0.07 ± 0.61 D and was within ±0.5 D in 79%, and within 1 D in 88% of eyes. During follow-up period, corrected CS with and without glare for distance was found to be within normal limits. The only late complication was posterior capsule opacification (PCO). Subjective quality of vision was very high; none of patients complained about glare. CONCLUSIONS: Biaxial cataract surgery with implantation of the Incise IOL provided excellent clinical outcomes by minimizing SIA, stable refraction and low incidence of PCO.

Clinical Outcomes after Uncomplicated Cataract Surgery with Implantation of the Tecnis Toric Intraocular Lens.

Purpose. To evaluate the clinical outcomes after uncomplicated cataract surgery with implantation of an aspheric toric intraocular lens (IOL) during a 6-month follow-up. Methods. Prospective study including 27 consecutive eyes of 18 patients (mean age: 66.1 ± 11.4 years) with a visually significant cataract and corneal astigmatism ≥ 0.75 D and undergoing uncomplicated cataract surgery with implantation of the Tecnis ZCT toric IOL (Abbott Medical Optics). Visual, refractive, and keratometric outcomes as well as IOL rotation were evaluated during a 6-month follow-up. At the end of the follow-up, patient satisfaction and perception of optical/visual disturbances were also evaluated using a subjective questionnaire. Results. At 6 months after surgery, mean LogMAR uncorrected (UDVA) and corrected distance visual acuity (CDVA) were 0.19 ± 0.12 and 0.14 ± 0.10, respectively. Postoperative UDVA of 20/40 or better was achieved in 92.6% of eyes. Mean refractive cylinder decreased significantly from -3.73 ± 1.96 to -1.42 ± 0.88 D (p < 0.001), while keratometric cylinder did not change significantly (p = 0.44). Mean absolute IOL rotation was 1.1 ± 2.4°, with values of more than 5° in only 2 eyes (6.9%). Mean patient satisfaction score was 9.70 ± 0.46, using a scale from 0 (not at all satisfied) to 10 (very satisfied). No postoperative optical/visual disturbances were reported. Conclusion. Cataract surgery with implantation of the Tecnis toric IOL is an effective method of refractive correction in eyes with corneal astigmatism due to the good IOL positional stability, providing high levels of patient's satisfaction.

Clinical outcomes after cataract surgery with implantation of the Tecnis ZMB00 multifocal intraocular lens.

BACKGROUND: The aim of this study was to evaluate visual performance, contrast sensitivity, and patient satisfaction in patients undergoing cataract surgery with bilateral implantation of the Tecnis ZMB00 diffractive multifocal IOL (intraocular lens). MATERIAL/METHODS: This was a prospective study of 40 eyes of 20 patients with an age range from 48 to 67 years and undergoing cataract surgery with implantation of the diffractive 1-piece IOL Tecnis ZMB00 (Abbott Medical Optics) in 1 eye and 3 weeks later in the other eye. The following parameters were evaluated at 3 and 6 months after the operation: binocular uncorrected distance, intermediate and near visual acuity (UDVA, UIVA, UNVA), uncorrected binocular photopic and mesopic distance and photopic near contrast sensitivity (CSV-1000), subjective symptoms, and patient satisfaction (VF-14). RESULTS: No significant change was observed in logMAR UDVA between 3 and 6 months postoperatively (-0.11±0.14 vs. -0.10±0.13, p>0.05). In contrast, UNVA (0.06±0.12 vs. -0.02±0.12, p=0.004) and UIVA (0.12±0.15 vs. 0.07±0.11, p=0.005) in this period improved significantly. At 3 and 6 months after surgery, 85% of patients no longer needed to wear corrective lenses. Contrast sensitivity under different conditions was within normal age-matched limits, with significant improvements for some spatial frequencies at 3 and 6 months after surgery (p<0.04). Mean overall patient satisfaction was 9.39±1.06 and 9.19±1.20 (scale from 1 to 10, with 10 being the best score) at 3 and 6 months, respectively. Low level of halo perception was reported in 75% of patients. CONCLUSIONS: The Tecnis ZMB00 IOL provides an effective restoration of the distance, intermediate, and near visual function, allowing patients to be totally free of need to wear corrective lenses and providing high levels of patient satisfaction.

Acriva UD Reviol multifocal intraocular lens in patients undergoing cataract surgery--6-month follow-up.

PURPOSE: To evaluate visual outcomes and complications in patients after binocular Acriva UD Reviol MFB 625 (VSY Biotechnology) multifocal intraocular lens implantation. METHODS: 40 eyes of 20 patients were reassessed at six months following bilateral IOL implantation. The following were evaluated: binocular UDVA and near, binocular uncorrected intermediate visual acuity, spectacle independence, uncorrected binocular photopic contrast sensitivity for distance and near, uncorrected binocular mesopic contrast sensitivity for distance (CS-CSV-1000, F.A.C.T.); stereoscopic vision (Lang Stereotest II), patient satisfaction, subjective symptoms (modified NE VFQ-25) and postoperative complications. RESULTS: Six months after surgery the mean binocular UDVA was logMAR -0.05 ± 0.07, UIVA was +0.04 ± 0.09 and uncorrected near visual acuity was +0.06 ± 0.08. At six months postoperatively, all patients were totally spectacle-independent. Contrast sensitivity under different conditions was within the normal range at all spacial frequencies. Stereoscopic vision was normal in all patients. Low level of glare/halo perception was detected in 55% of patients. General vision quality was high and rated as 1.85 (1--the best, 5--the worst). No severe postoperative complications were observed. CONCLUSION: Cataract surgery with Acriva UD Reviol MFB 625 implantation in a selected group of patients was very effective for all distances and provided excellent patient satisfaction.

Conventional pseudophakic monovision--visual function, patient satisfaction and complications.

PURPOSE: To evaluate visual function, patient satisfaction and complications after cataract surgery with conventional pseudophakic monovision in a 3-month follow-up. METHODS: The following parameters were evaluated in a group of 20 selected patients (40 eyes) mean age: 62.15 +/- 7.22 years, who underwent bilateral cataract surgery with monofocal lens implantation (Alcon SA60AT) in the conventional monovision procedure 3 months earlier (target refraction: dominant eye-emmetropia, fellow eye--2.0 D): binocular uncorrected visual acuity for near, intermediate distance and distance (logMAR), contrast sensitivity (CS-CSV-1000), spectacle independence, patient satisfaction (Type Q) and complication rate. RESULTS: The mean prescription for distance was in -0.01 +/- 0.14 D in dominant eyes, and -1.85 +/- 0.19 D for near in nondominant eyes. Three months after surgery, patients had a very good binocular distance, near as well as intermediate visual acuities (-0.03 +/- 0.09, -0.1 +/- 0.11, and -0.39 +/- 0.17, respectively). Binocular contrast sensitivity values under mesopic and photopic conditions for distance and under photopic conditions for near fell in the reference range for age. Most patients (80%) did not require any additional correction. Spectacle independence for distance, near and intermediate distances was 100%, 80% and 90%, respectively. General patient satisfaction was very high (9.40/10). There were no postoperative complications. CONCLUSIONS: Cataract surgery with monofocal lens implantation during a conventional monovision procedure (E,-2.0 D) in a selected group of patients offered a very good binocular visual function, a substantial spectacle independence and overall patient satisfaction. pseudophakic monovision, visual function, patient satisfaction, complications.

Bimanual microincision cataract surgery with implantation of an Akreos MI6O lens--one year follow-up.

PURPOSE: To evaluate visual outcome and complications after bimanual microincision cataract surgery (MICS) with implantation of an Akreos MI60 intraocular lens (IOL). MATERIAL AND METHOD: This study comprised 40 eyes of 22 patients after MICS. The IOL was implanted through a 1.9 mm or smaller clear corneal incision. One year after operation, uncorrected and best corrected distance visual acuity, best corrected near visual acuity (logMAR), contrast sensitivities (CS) (CSV-1000), induce astigmatism, complications and patient satisfaction were analyzed. RESULTS: The Akreos lens was implanted through mean incision of 1.8 + 0.01 mm. One year after surgery the mean uncorrected and the best corrected distance visual acuity (UDVA, BCDVA) and the best corrected near visual acuity (BCNVA) significantly improved (UDVA: preoperatively--0.7 +/- 0.6; postoperatively--0.04 +/- 0.17; p < 0.005; BCDVA: preoperatively 0.61 +/- 0.6; postoperatively--0.01 +/- 0.12; p < 0.001; BCNVA: preoperatively--0.56 +/- 0.42; postoperatively--0.0 +/- 0; p < 0.005). CS in photopic adaptation were within normal age-matched limits. One year after surgery, there was not significant induced astigmatism measured by vector analysis. There were no serious postoperative complications. Visual significant PCO was observed in 1 patient. All the patients were highly satisfied with the quality of the vision. CONCLUSIONS: Our results show that MICS with Akreos MI60 lens implantation is a procedure which let receive very good visual function results, fast visual rehabilitation as well as high patients' satisfaction.

Visual outcome three and six months after implantation of Acri.LISA 366D lenses.

PURPOSE: To evaluate 3 and 6 months binocular visual outcomes after microincision cataract surgery (MICS) with implantation of multifocal, hybrid Acri.LISA 366D 10OLs. MATERIAL AND METHODS: Three and six months after bilateral MICS with Acri.Lisa 366D implantation, 40 eyes of 20 patients were evaluated for surgical induced astigmatism (SIA--vector analysis), binocular UDVA, UNVA and UIVA (logMAR), spectacle independence, contrast sensitivities (CS-CSV-1000), subjective symptoms, patient satisfaction (Type Questionnaire) and complications. RESULTS: Three and six months after surgery, SIA was equal 0.55 D and 0.58 D subsequently. Three months postoperatively mean binocular UDVA did not differ significantly from the six-month follow-up (-0.10 +/- 0.17 versus -0.14 +/- 0.11; p = NS). All patients had very good spectacle-free visual function at all distances and were totally spectacle independent. Mesopic distance and photopic distance and near CS were within normal age-matched limits at both follow-ups and did not change during observation time. A low degree of glare/halo was detected in 75% of subjects. Overall patient satisfaction was very high (9.05/10). There were no postoperative complications. CONCLUSIONS: Multifocal Acri.LISA 366D IOL implantation in selected cataract patients provides a very good visual outcome, a high level of patient satisfaction and spectacle-free visual function. microincision cataract surgery, Acri.Lisa 3660 101 implantation, visual outcome.

Visual outcomes three and six months after implantation of diffractive and refractive multifocal IOL combinations.

PURPOSE: To evaluate 3 and 6 months binocular visual outcomes after cataract surgery using a multifocal IOL "mix and match" approach, with a refractive (ReZoom) IOL in the dominant eye and a diffractive (Tecnis) IOL in the fellow eye. MATERIAL AND METHODS: Three and 6 months after bilateral cataract surgery, 40 eyes of 20 patients were evaluated for binocular UDVA, UNVA and UIVA (logMAR), spectacle independence, contrast sensitivities (CS), stereoscopic vision, subjective symptoms, patient satisfaction and complications. RESULTS: Three months after surgery mean binocular UDVA did not differ from the six-month follow-up (-0.13 +/- 0.08 vs. -0.18 +/- 0.08; p = NS ). All patients achieved binocular UNVA of 0.0 at both follow-ups. Mean binocular UIVA improved significantly from 0.06 to 0.01 (p<0.027), 6 months after surgery. All patients had very function at good visual all distances and were totally spectacle independent. CS under various conditions was within normal age-matched limits at both follow-ups. For some spatial frequencies six months postoperative results were significantly better than for the 3 months follow-up (p<0.05). Stereoscopic vision was normal. A low degree of glare/halo was detected in 75% of subjects. Overall patient satisfaction was very high (9.6/10). There were no postoperative complications. CONCLUSIONS: Mixing and matching multifocal IOLs in selected cataract patients provides an excellent visual outcome, a high level of patient satisfaction and spectacle-free visual function. A period of neuroadaptation lasting at least six months is necessary to obtain better visual function results.

Cataract surgery with bilateral multifocal ReZoom intraocular lens implantation--comparison of 3 and 12 month follow-up.

PURPOSE: To evaluate the visual outcome, spectacles independence, contrast sensitivity (CS), subjective symptoms, patient satisfaction and complications three and 12 months after cataract surgery with bilateral ReZoom multifocal refractive intraocular lens (IOL) implantation. PATIENTS AND METHODS: This study comprised 40 eyes of selected 20 patients who had uneventful cataract surgery with bilateral implantation of ReZoom (AMO) multifocal IOL. Three and 12 months after bilateral surgery binocular uncorrected, the best corrected distance, near and uncorrected intermediate visual acuities (VA), spectacle independence, the best corrected binocular distance (with and without glare), near photopic CS, subjective symptoms, patient satisfaction and complications were evaluated. RESULTS: Three and 12 months after surgery all patients had binocular uncorrected distance visual acuity (VA) of 0.5 or better; the best corrected distance VA was 1.0 in all cases. Three months after surgery, the mean binocular uncorrected intermediate VA was J4.10. The mean binocular uncorrected and the best corrected near VA were J3.10 and J1.70 respectively. Total spectacle independence and independence for distance, intermediate and near vision were achieved in 65%, 100%, 95% and 70% of patients respectively. The best corrected binocular distance and near CS were within normal limits. The most frequent subjective symptoms were mild glare and halo (65%--13/20 of patients).Total vision satisfaction was very high (9.6/ 10). There were no postoperative complications. One year after surgery, statistically significant improvement occurred in the best distance corrected near VA (p < 0.04), photopic distance best corrected CS without glare for 12 cycl/deg (p < 0.03) and in the level perception of glare/halo (p < 0.02) in comparison to the results from 3 months follow-up. The rest of analyzed parameters was unchanged. No complications were noticed except posterior capsule opacification in four patients one year after surgery who needed YAG laser treatment. CONCLUSION: Bilateral ReZoom multifocal IOL implantation was effective in selected cataract patients, providing very good uncorrected distance, intermediate, and near visual acuities as well as very high level of patient satisfaction. Longer than three months of the neuroadaptation time after bilateral surgery is necessary to obtain significantly better visual function results.

[Evaluation of ganglion cells function with PERG test in normal tension glaucoma patients]. / Ocena funkcji bioelektrycznej komórek zwojowych za pomoca badania PERG u pacjentów z jaskra normocisnieniowa.

PURPOSE: To evaluate bioelectrical function of inner retinal layers measured by PERG in normal tension glaucoma. PATIENTS AND METHODS: In 50 eyes of 30 patients with normal tension glaucoma the following examinations were performed: history, routine ophthalmic examination, standard static perimetry and pattern ERG test. RESULTS: The most frequent abnormalities were incorrect N95/P50 amplitude ratio and increase latency of N95-wave. In analyzed glaucoma patients sensitivity of PERG test was 50% and specificity 87%. CONCLUSIONS: In normal tension glaucoma, the ganglion cells dysfunction is present and can be detected with PERG test. PERG can be additional useful diagnostic test in patients with normal tension glaucoma, particulary for those with difficult to cooperate.

[Pseudophakic retinal detachment after cataract surgery by phacoemulsification]. / Odwarstwienie siatkówki w oczach po operacji zacmy metoda fakoemulsyfikacji.

PURPOSE: To estimate the incidence and causes of pseudophakic retinal detachment after cataract surgery by phacoemulsification. PATIENTS: 105 patients (51 females, 54 males, age: 18 -81 yrs) treated because of pseudophkic retinal detachment at the Department of Ophthalmology, Szczecin, between 2000 and 2004. METHOD: Cataract surgery by phacoemulsification and intraocular lens implanation was performed in 105 eyes. Posterior chamber intraocular lenses were implanted in 102 eyes and anterior chamber intraocular lenses in 3 eyes. RESULTS: During four years of follow-up, pseudophakic retinal detachment was observed in 17.3% of eyes. The most frequent cause of pseudophakic retinal detachment was high myopia (16.2% of eyes) and Nd: YAG laser capsulotomy (7.6% of eyes). Diabetes was diagnosed in 10 patients (9.5%). Cerclage with a silicon band (58.9%), scleral buckling (26.7%) and primary pars plana vitrectomy (14.4%) were the surgical techniques used to treat pseudophakic retinal detachment. Anatomical success in 88% of eyes was achieved. CONCLUSION: 1. The most frequent cause of pseudophakic retinal detachment were high myopia and Nd: YAG laser capsulotomy. 2. Retinal detachment surgery had a high anatomical succes rate. 3. Patients with pseudophakia should be made aware of symptoms of retinal detachment because early recognition and prompt treatment result not only in anatomical succes but also in good visual recovery.