The Risk of Retinal Detachment in High Myopia After Small Incision Coaxial Phacoemulsification  

Oleh:

Ruiz-Moreno, Jose M. ; Shabayek, Mohamed H. ; Lugo, Francisco L. ; Alio, Jorge L ; Rahman, Ayman M. Abd El

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: American Journal of Ophthalmology (keterangan: ada di ClinicalKey) vol. 144 no. 01 (Jul. 2007), page 93.

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Perpustakaan FK Nomor Panggil: A12.K.2007.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Purpose Report incidence and risk of retinal detachment (RD)after coaxial phacoemulsification in high myopic patients. Design Retrospective consecutive interventional study. Methods setting: Vissum-Instituto Oftalmologico de Alicante, Spain. patient or study population: A total of 439 eyes from 274 high myopic patients with spherical equivalent (SE) = 6.00 diopters (D) or axial length = 26.00 mm. Mean age 62.2, axial length 27.88 ± 2.11 mm (26.0 mm to 37.9 mm), SE –13.3 ± 5.6 (–6.00 D to –46.0 D). main outcome measures: Incidence of RD, vitreous loss, and neodymium yttrium aluminum garnet (Nd:YAG) capsulotomy were evaluated after surgery at one, three, six, and 12 months then annually with mean follow-up 61.5 ± 29.6 months. Results Incidence of RD was 2.7% (12/439 eyes). In eyes with = 50 years of age was 3.65% (three eyes) compared with eyes with > 50 years of age was 2.52% (nine eyes). Cumulative risk of RD development by Kaplan-Meier analysis in all patients was 0.47%, 0.71%, 1.71%, 2.59%, and 3.28% at three, six, 15, 48, and 63 months until 105 months, respectively. In eyes = 50 years of age: the risk increases to 1.23% at three months and 4.46% at 63 months until 147 months, whereas eyes with > 50 years of age was 0.58% and 2.96% at six and 52 months until 118 months after cataract surgery, respectively. No significant correlation was found between the occurrence of RD and vitreous loss (P = .33) or Nd:YAG capsulotomy (P = .50 Chi-square test). Conclusions The incidence of RD in high myopic patients after coaxial phacoemulsification is 2.7%. A trend toward an increased incidence and risk in patients younger than 50 years of age was detected in this study.

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