Clinical analysis of retinal detachment after phacoumulsifieation cataract extraction and intraocular lens （IOL） implantation

Objective To investigate pathogenic factors, clinical features and treatment of retinal detachment （RD） after phacoumulsifieation cataract extraction and intraocular lens （IOL） implantation. Methods This retrospective review was comprised of 24 cataract patients （25 eyes） who had phacoemulsification cataract extraction and IOL implantation from February 2006 to August 2009. Posterior capsule rupture, intraocular lens deviation, residual lens cortex, axial length were manifested in these cases, which retinal detachment （RD） was from the range of two-quadrant to totally out of touch. Three eyes were treated with extra-retinal detachment surgery. Twenty-two were treated with vitrectomy. Results Twenty-four cases of the retinal detachment were recovered in anatomy. Visual acuity compared with preoperative was improved obviously. No serious complications appeared. One eye had recrudescence of retina detachment and received second surgery with the silicone oil fill. Conclusions Vitreous detachment after secondary intraocular lens secondary is the main reasons for retinal detachment, lens capsule rupture, vitreous prolapse, and intraocular lens deviation increase the incidence of retinal detachment rate. Timely surgical treatment is the good effect to the retinal detachment after phacoumulsifieation cataract extraction and intraocular lens （IOL） implantation. Key words: Intraocular lens;  Retinal detachment