EPIDEMIOLOGY OF RETINAL-DETACHMENT FOLLOWING EXTRACAPSULAR CATARACT-EXTRACTION - A FOLLOW-UP-STUDY WITH AN ANALYSIS OF RISK-FACTORS

被引：70

作者：

NIELSEN, NE ^{[1
]}

NAESER, K ^{[1
]}

机构：

[1] ALBORG SYGEHUS SYD,DEPT OPHTHALMOL,DK-9100 AALBORG,DENMARK

来源：

JOURNAL OF CATARACT AND REFRACTIVE SURGERY | 1993年 / 19卷 / 06期

关键词：

AXIAL LENGTH; EPIDEMIOLOGY; EXTRACAPSULAR CATARACT EXTRACTION; MYOPIA; RETINAL DETACHMENT; RISK FACTORS; YAG-LASER CAPSULOTOMY;

D O I：

10.1016/S0886-3350(13)80333-1

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

We reviewed the medical records of 1,726 eyes consecutively operated on with extracapsular cataract extraction to examine the incidence of and the risk factors for retinal detachment (RD). In Denmark, both diagnoses and deaths are registered centrally; therefore, a complete follow-up was achieved in each case and actuarial statistical methods were used in the risk assessment. Seven eyes (0.41%) developed RD and 345 eyes (20.0%) had YAG-laser capsulotomy in the observation period, which averaged 39 months. We identified the following risk factors for RD: age less than 70 years at the time of surgery, intraoperative complications, axial length greater than or equal to 25 mm. Nonsignificant factors included male gender and postoperative complications. One eye (0.29%) developed RD following YAG-laser capsulotomy. We concluded that the high risk of RD is concentrated in a small group of myopic patients who have cataract surgery when they are less than 70 years of age. Our results do not suggest a causal relationship between YAG-laser capsulotomy and subsequent RD.

引用

页码：675 / 680

页数：6

共 17 条

[1]

Naeser K, Kobayashi C, Epidemiology of aphakic retinal detachment following intracapsular cataract extraction: a follow-up study with an analysis of risk factors, J Cataract Refract Surg, 14, pp. 303-308, (1988)

[2]

Olsen T, Thim K, Corydon L, Accuracy of the newer generation intraocular lens power calculation formulas in long and short eyes, J Cataract Refract Surg, 17, pp. 187-193, (1991)

[3]

Olsen T, Calculating axial length in the aphakic and the pseudophakic eye, J Cataract Refract Surg, 14, pp. 413-416, (1988)

[4]

Naeser K, Thim K, Hansen TE, Et al., Intraocular pressure in the first days after implantation of posterior chamber lenses with the use of sodium hyaluronate (Healon®), Acta Ophthalmol, 64, pp. 330-337, (1986)

[5]

Coonan P, Fung WE, Webster RG, Et al., The incidence of retinal detachment following extracapsular cataract extraction, Ophthalmology, 92, pp. 1096-1101, (1985)

[6]

Smith PW, Stark WJ, Maumenee E, Et al., Retinal detachment after extracapsular cataract extraction with posterior chamber intraocular lens, Ophthalmology, 94, pp. 495-504, (1987)

[7]

Davison JA, Retinal tears and detachments after extracapsular cataract surgery, J Cataract Refract Surg, 14, pp. 624-632, (1988)

[8]

Wollensak J, Zeisberg B, Pham Duy T, Netzhautabl6sung nach Implantation einer Hinterkammerlinse, Klin Monatsbl Augenheilkd, 192, pp. 1-5, (1982)

[9]

Javitt JC, Vitale S, Canner JK, Et al., National outcomes of cataract extraction I. Retinal detachment after inpatient surgery, Ophthalmology, 98, pp. 895-902, (1991)

[10]

Schinz H, Schutte E, Aphakieamotiorate bei myopen Augen, Fortschr Ophthalmol, 88, pp. 142-147, (1991)

← 1 2 →