Pseudophakic Retinal Detachments in the Presence of Various IOL Types

Scott Cousins; Isaac Boniuk; Edward Okun; Glen P. Johnston; Neva P. Arribas; Richard F. Escoffery; Dean B. Burgess; M. Gilbert Grand; R. Joseph Olk; Lawrence H. Schoch

doi:10.1016/S0161-6420(86)33596-6

Pseudophakic Retinal Detachments in the Presence of Various IOL Types

Scott Cousins, Isaac Boniuk, Edward Okun, Glen P. Johnston, Neva P. Arribas, Richard F. Escoffery, Dean B. Burgess, M. Gilbert Grand, R. Joseph Olk, Lawrence H. Schoch

Department of Ophthalmology and Visual Sciences

Research output: Contribution to journal › Article › peer-review

81 Scopus citations

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.

Original language	English
Pages (from-to)	1198-1208
Number of pages	11
Journal	Ophthalmology
Volume	93
Issue number	9
DOIs	https://doi.org/10.1016/S0161-6420(86)33596-6
State	Published - Jan 1 1986

Keywords

cataract surgery
intraocular lens implants
pseudophakic retinal detachment

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10.1016/S0161-6420(86)33596-6

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title = "Pseudophakic Retinal Detachments in the Presence of Various IOL Types",

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",

author = "Scott Cousins and Isaac Boniuk and Edward Okun and Johnston, {Glen P.} and Arribas, {Neva P.} and Escoffery, {Richard F.} and Burgess, {Dean B.} and Grand, {M. Gilbert} and Olk, {R. Joseph} and Schoch, {Lawrence H.}",

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AU - Cousins, Scott

AU - Boniuk, Isaac

AU - Okun, Edward

AU - Johnston, Glen P.

AU - Arribas, Neva P.

AU - Escoffery, Richard F.

AU - Burgess, Dean B.

AU - Grand, M. Gilbert

AU - Olk, R. Joseph

AU - Schoch, Lawrence H.

PY - 1986/1/1

Y1 - 1986/1/1

N2 - 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.

AB - 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.

KW - cataract surgery

KW - intraocular lens implants

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Pseudophakic Retinal Detachments in the Presence of Various IOL Types

Abstract

Keywords

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