Update on a long-term, prospective study of capsulotomy and retinal detachment rates after cataract surgery

Update Item Information
Publication Type Journal Article
School or College School of Medicine
Department Ophthalmology
Creator Olson, Randall J.
Other Author Olsen, Gerald
Title Update on a long-term, prospective study of capsulotomy and retinal detachment rates after cataract surgery
Date 2000-07
Description PURPOSE: To evaluate the retinal detachment risks and neodymium:YAG (Nd:YAG) capsulotomy rates associated with different cataract approaches and intraocular lens (IOL) styles in a long-term,prospective clinical study. SETTING: Clinical practice of 1 ophthalmologist, Fort Collins, Colorado, USA. METHODS: Prospectively studied were surgical approach, date, and complications; IOL type; axial length; patient age and sex; Nd:YAG capsulotomy and date; and retinal detachment and date. RESULTS: Phacoemulsification had a lower risk of retinal detachment than intracapsular cataract extraction (ICCE) (0.4% versus 5.4%; P <.001) and extracapsular cataract extraction (ECCE) (0.4% versus 1.6%; P =. 002). Although retinal detachment was significantly associated with Nd:YAG for ECCE (3.1% versus 1.0%; P =.01), no patient in the phacoemulsification group had a retinal detachment after an Nd:YAG treatment. Retinal detachment was strongly associated with axial length of 24.0 mm and greater (P <.001), age of 60 years or less if axial length was 24.0 mm or greater (for ECCE, P =.001; for phacoemulsification, P =.01) and sex; that is, male (for ECCE, P =. 04; for phacoemulsification, P =.02). Regarding IOL styles the Surgidev B20/20 (P <.001) and AcrySof MA60 (P <.001) had significantly lower Nd:YAG rates, while the Cilco UPB 320 GS had a significantly higher Nd:YAG rate (P <.001). CONCLUSIONS: Cataract surgical approach and IOL style significantly affect Nd:YAG and retinal detachment rates. Being a man, being 60 years or younger, and especially having an axial length of 24.0 mm or greater were associated with detachment. Some Nd:YAG approaches may not put the patient at increased risk for retinal detachment.
Type Text
Publisher Elsevier
Volume 26
Issue 7
First Page 1017
Last Page 1021
Subject Cataract Extraction; Laser Therapy; Retinal Detachment; Risk Factors
Subject MESH Cataract Extraction; Lens Implantation, Intraocular; Retinal Detachment; Visual Acuity; Follow-Up Studies
Language eng
Bibliographic Citation Olsen G, Olson RJ. (2000). Update on a long-term, prospective study of capsulotomy and retinal detachment rates after cataract surgery. J Cataract Refract Surg, 26(7), 1017-21
Rights Management (c) Elsevier DOI: [place doi for article here]; http://dx.doi.org
Format Medium application/pdf
Identifier ir-main,13773
ARK ark:/87278/s6rn3s7p
Setname ir_uspace
ID 705275
Reference URL https://collections.lib.utah.edu/ark:/87278/s6rn3s7p
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