Retinal detachment after phacoemulsification in refractive surgery clinics: a large series analysis with variable follow-up during 16 years.
Por:
Javaloy, J, Druchkiv, V, Beltran, J, Moya, J, Albarran-Diego, C, Montalban, R and Munoz, G
Publicada:
1 jun 2021
Ahead of Print:
31 mar 2021
Resumen:
PURPOSE: To determine the long-term incidence of pseudophakic retinal detachment (PRD) after phacoemulsification and the weight of the main risk factors in the appearance of such complication in a large sample. To implement a customized formula and a software calculation program able to quantify the risk of suffering PRD applicable to all lens extraction patients. METHODS: Retrospective cumulative risk analysis conducted on 178,515 eyes operated under similar conditions in a group of refractive surgery clinics (Clínica Baviera SL) located in a relatively limited geographical area (Spain). A survival analysis was performed and the data were modelled using the Weibull regression to determine the risk over a period of 16 years and to estimate the association of different risk factors: sex, age, axial length (AXL) of the eye, intraoperative posterior capsule rents (PCR), and YAG laser capsulotomies. The resulting estimates were translated into a predictive equation for hazard rates and survival probabilities. Later, an application was developed to make prediction available for the clinical community in order to estimate the potential risk of any hypothetical case before lens surgery. RESULTS: Globally, 1521 (0.85%) cases of PRD were diagnosed during the period. The risk for PRD was significantly greater in males (5.48 [2.94-10.2]; p < 0.001), in long eyes (1.24 [1.21-1.26]; p < 0.001), and also after posterior capsule rents (13.97 [11.61-16.82]; p < 0.001). Posterior capsule rupture increased the risk of PRD up to fourteen times. CONCLUSIONS: From weaker to stronger impact, age, axial length, sex, and intraoperative posterior capsule rent were significant risk factors for the appearance of PRD after lens extraction.
Filiaciones:
Javaloy, J:
Clin Baviera Alicante, Dept Refract Surg, Alicante, Spain
Druchkiv, V:
Clin Baviera Valencia, Dept Res & Dev, Valencia, Spain
Beltran, J:
Clin Baviera Valencia, Dept Res & Dev, Valencia, Spain
:
Hosp Virgen Lirios, Dept Ophthalmol, Alcoy, Spain
Albarran-Diego, C:
Clin Baviera Castellon, Dept Refract Surg, Castellon de La Plana, Spain
Montalban, R:
Clin Baviera Alicante, Dept Refract Surg, Alicante, Spain
Munoz, G:
Clin Baviera Castellon, Dept Refract Surg, Castellon de La Plana, Spain
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