The Incidence of Retinal Detachment after Cataract Surgery according to Surgical Methods.

Sun, Duck Young; Lee, Jin Hak

Original Article

Journal of the Korean Ophthalmological Society 1995;36(12):2157-2161.
Published online December 1, 1995.

The Incidence of Retinal Detachment after Cataract Surgery according to Surgical Methods.

Duck Young Sun, Jin Hak Lee

Department of Ophthalmology, Seoul National University, College of Medicine, Seoul, Korea.

백내장수술 방법에 따른 망막박리의 빈도

선덕영(Duck Young Sun),이진학(Jin Hak Lee)

Abstract

We reviewed our medical records to evaluate the incidenee of and risk factors for retinal detachment after cataract surgery according to the surgical methods. Group 1 included 605 eyes operated on with corneoscleral incision, extracapsular cataract extraction(ECCE) and posterior chamber intraocular lens(PCL) implantation, and Group 2 included 600 eyes with scleral tunneling incision, phacoemulsification and PCL implantation. 8 eyes(1.3 %) developed retinal detachment in group 1, whereas 1 eyes(0.2%) in group 2. The difference in incid ence between the two groups was statistically significant(P<0.05). Axial length is longer than 25mm, intraoperative posterior capsule rupture, and scleral fixation were identified as risk factors for retinal detachment after cataract surgery. From the above results, suggest that phacoemulsification with scleral tunnel incision is preferable to extracapsular cataract extraction(ECCE) with cornea-scleral incision, in cataract surgery, to lower the post operative complication of retinal detachment.

Key Words: Retinal detachment after cataract surgery;Post;capsule rup ture;Scleral fixation;Axial myopia