Over half of retinal detachments following cataract surgery with posterior capsule rupture occur within 2 months

Session Details

Session Title: Cataract Surgery Special Cases

Session Date/Time: Monday 12/09/2016 | 08:00-10:30

Paper Time: 10:20

Venue: Auditorium C6

First Author: : A.Day UK

Co Author(s): :    P. Donachie   R. Johnston   J. Sparrow              

Abstract Details

Purpose:

To investigate time to pseudophakic retinal detachment (RD) following cataract surgery with posterior capsule rupture (PCR) to provide an evidence base guiding postoperative management.

Setting:

UK Royal College of Ophthalmologists' National Ophthalmology Database (RCOphth NOD) analysis.

Methods:

Data were available from 13 sites where that on both cataract and vitreoretinal surgery were recorded on the same electronic medical records system. Overall there were 61,907 cataract operations performed between October 2006 and August 2010. Analyses were restricted to cases with at least 3 months potential post-operative follow-up.

Results:

Pseudophakic RD surgery was performed on 131 eyes (0.21%, 95% CI: 0.18% to 0.25%) of 129 patients. Of these, 36 were in eyes that had PCR during cataract surgery (3.27%, 95% CI: 2.37% to 4.50%) and 95 were in eyes that did not have PCR (0.16%, 95% CI: 0.13% to 0.19%). For operations with PCR, median time to pseudophakic RD surgery was 44 days compared to 6.3 months for those without PCR. Surgeon grade was associated with pseudophakic RD risk.

Conclusions:

Pseudophakic RD rates are higher in those with previous PCR, and surgeon grade is a risk factor for pseudophakic RD. In this study over half of RD in eyes with PCR occurred within the first 2 months of cataract surgery. Posterior vitreous detachment and RD symptoms should be discussed with patients who have cataract surgery with PCR to facilitate early attendance, and careful dilated postoperative examination for retinal tears is recommended in the first two months postoperatively.

Financial Disclosure:

NONE