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March 1994

Incidence of Retinal Detachment Following Clear-Lens Extraction in Myopic PatientsRetrospective Analysis

Author Affiliations

From the Escuela Superior de Oftalmología, Instituto Barraquer de América, Bogotá, Colombia.

Arch Ophthalmol. 1994;112(3):336-339. doi:10.1001/archopht.1994.01090150066025

Objective:  A retrospective study was performed to establish the incidence of retinal detachment among 107 patients (165 eyes) with pathologic myopia who underwent clear-lens extraction.

Interventions:  The techniques employed were intracapsular extraction (3.0%), aspiration (59.4%), and extracapsular extraction (37.6%); average follow-up was 31 months.

Results:  Retinal detachment developed in 12 eyes (7.3%) an average (SD) of 30.7±26.6 months postoperatively; the mean age of these patients was 34 years. We found a clear association between postoperative YAG laser/surgical posterior capsulotomy and the incidence of retinal detachment (11% vs 5.5%) but no association between intraoperative rupture of the posterior capsule and the ultimate incidence of retinal detachment. The retina was reattached in nine cases (75%).

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