Incidence of retinal detachment following clear-lens extraction in myopic patients. Retrospective analysis

Arch Ophthalmol. 1994 Mar;112(3):336-9. 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%).

MeSH terms

  • Adult
  • Cataract Extraction / adverse effects
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Laser Therapy / adverse effects
  • Lens Capsule, Crystalline / surgery
  • Lens, Crystalline / surgery*
  • Male
  • Middle Aged
  • Myopia / surgery*
  • Postoperative Complications*
  • Retinal Detachment / etiology*
  • Retrospective Studies