Clinical presentation and outcomes of rhegmatogenous retinal detachment in phakic eyes after posterior chamber phakic intraocular lens implantation for high-myopia
Journal Title: Eye Science (Yanke Xuebao) - Year 2022, Vol 37, Issue 2
Abstract
[Objective:] To analyze the clinical presentation, surgical management, and outcomes of rhegmatogenous retinal detachment (RRD) in patients with high-myopia corrected by posterior chamber phakic (PCP) intraocular lens (IOL) implantation. [Methods:] Nine eyes of 9 patients in whom RRD developed after PCPIOL implantation from April 2012 to June 2021 in Zhongshan Ophthalmic Center were retrospectively studied. Mean follow-up after retinal detachment surgery was (4.96±4.78) months. [Results:] Mean patient age was (30.44±20.11) years old. RRD occurred (32.10±17.80) months after PCPIOL implantation. Four (44.4%) breaks were horseshoe tear, 1 (11.1%) was atrophic hole and 4 participants (44.4%) had a giant retinal tear. Nine cases had causative breaks located anterior to the equator while peripheral retina lattice degeneration was found in 6 eyes. RRD extended from 1 to 4 quadrants (3.0±1.12 quadrants) and 8 cases were macula-off retinal detachments. Four eyes' proliferative vitreoretinopathy were more severe than level C. Initial reattachment rate was 77.80%. Final retinal reattachment was 100%. Final follow-up BCVA was significantly better than baseline (P<0.05). Furthermore, concurrent cataract occurred in 2 eyes in which silicone oil was used as tamponade. Ocular hypertension was detected in 4 eyes after surgery. [Conclusion:] The existed lattice degeneration and postoperative vitreous traction may be risk factors for RRD after PCPIOL implantation.
Authors and Affiliations
Chuqi XIANG, Fan LI, Wu XIANG, Shaofen HUANG, Zhihao JIANG, Yuanjie QIAN, Yantao WEI, Lin LÜ
Keywords
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- EP ID EP763629
- DOI 10.3978/j.issn.1000-4432.2021.11.04
- Views 21
- Downloads 0
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