Pseudophakic retinal detachments in the presence of various IOL types期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Pseudophakic retinal detachments in the presence of various IOL types

Authors:	S Cousins I Boniuk E Okun G P Johnston N P Arribas R F Escoffery D B Burgess M G Grand R J Olk L H Schoch

Affiliation:	1. Instituto Superior de Tecnologías y Ciencias Aplicadas, Universidad de la Habana, la Habana, Cuba;2. Instituto Cubano de Oftalmología Ramón Pando Ferrer, la Habana, Cuba;3. Facultad de Matemática, Universidad de la Habana, la Habana, Cuba;1. Department of Mathematics and Statistics, Eastern Michigan University, Ypsilanti, MI 48197, USA;2. Department of Statistics and Actuarial-Financial Mathematics, University of the Aegean, Karlovassi 83200, Samos, Greece;1. Department of Plastic Surgery, The Ohio State University College of Medicine, Columbus, OH;2. Department of Business Information Technology, Pamplin College of Business, Virginia Tech, Blacksburg, VA;3. Departments of Plastic Surgery and Orthopaedics, The Ohio State University College of Medicine, Columbus, OH;1. Division of Endocrinology and Metabolism, Department of Medicine, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada;2. Department of Medicine, Clinical Lipidology and Rare Lipid Disorders Unit, Université de Montréal Community Gene Medicine Center and ECOGENE-21 Clinical and Translational Research Center, Chicoutimi, Quebec, Canada;3. Department of Medicine, Clinical Lipidology and Rare Lipid Disorders Unit, Université de Montréal Community Gene Medicine Center, Lipid Clinic Chicoutimi Hospital and ECOGENE-21 Clinical and Translational Research Center, Chicoutimi, Quebec, Canada;1. South Coast Retina Center, Long Beach, California;2. School of Information, University of California, Berkeley, Berkeley, California;3. Wills Eye Hospital, Mid Atlantic Retina, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania;1. Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT;2. Department of Laboratory Medicine, Yale University School of Medicine, New Haven, CT;3. Department of Medicine, Yale University School of Medicine, New Haven, CT;4. Department of Pediatrics, Yale University School of Medicine, New Haven, CT;5. Clinical Virology Laboratory, Yale New Haven Hospital, New Haven, CT;6. Department of Infection Prevention, Yale New Haven Health, New Haven, CT

Abstract:	A series of 600 pseudophakic retinal detachments in 578 patients undergoing surgical repair between 1974 and 1984 was reviewed. Patients with previous retinal surgery of less than six months follow-up were excluded. The series included 395 iris-fixated (IF) lenses, 130 anterior chamber (AC) lenses, and 75 posterior chamber (PC) lenses. The overall success rate for retinal detachment was 88% but was significantly better in the PC lens group and significantly worse in the AC lens group. Forty-one percent of all cases achieved 20/40 visual acuity or better, although the AC lens group did worse (28%), while the PC lens group did significantly better (48%). Risk factors that were predictive of failure also were identified. Many of these factors occurred more frequently in the AC lens group and probably are related to the overall worse outcome in eyes with AC lens implants. The implications of these results for retinal and cataract surgeons are discussed.

Keywords:	cataract surgery intraocular lens implants pseudophakic retinal detachment
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