Posters

Pseudophakic retinal detachment in young-aged patients

Poster Details

First Author: T.Laube GERMANY

Co Author(s):    C. Brockmann                    

Abstract Details

Purpose:

To investigate the incidence and risk factors for retinal detachment (RD) after cataract surgery or refractive lens exchange (RLE) in patients aged below 61 years.

Setting:

Centre for Ophthalmology Duesseldorf, Priv.-Doz. Dr. Thomas Laube, Duesseldorf, Germany.

Methods:

Retrospective medical chart review of 7,886 patients (13,925 eyes) who underwent cataract surgery or RLE. Patients aged below 61 years were selected. Age, gender, axial length, follow-up times, and the occurrence of RD were recorded. Additional characteristics documented for RD cases were: history of RD, preexisting retinal findings, laser capsulotomy, status of macula at RD, date and details of RD.

Results:

Twenty-four cases of RD were identified (N = 677). The cumulative incidence was 3.55 %. Axial length had a significant effect on the risk of pseudophakic RD (HR = 1.42, P = 0.0001, 95 % CI 1.19-1.69). The highest incidence of RD occurred in the subgroup of 25 to 29 mm axial length (10.2 %). With respect to age patients aged 50-54 years showed the highest incidence of RD (5.39 %). Compared to females, males had an almost twofold not significant risk of postoperative RD (HR = 1.96, P = 0.123, 95 % CI 0.83-4.63).

Conclusions:

Axial length is a significant risk factor for pseudophakic RD. The need for cataract surgery or RLE should be carefully considered in patients with axial lengths between 25 and 29 mm, aged 50-54 years, and in males. Financial disclosure: None

Financial Disclosure:

None