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W. Chang, J. Kim, S. Moon, J. Kim; Retinal Detachment Following Congenital Cataract Surgery. Invest. Ophthalmol. Vis. Sci. 2007;48(13):5747.
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To analyze the preoperative clinical characteristics, surgical methods, outcomes and visual prognosis of retinal detachment following surgery for congenital cataract.
We retrospectively analyzed the medical records of 16 patients who had undergone operation for retinal detachment following surgery for congenital cataract. Anatomical success was considered that retina was well attached in fundus examination in postoperative 6 months.
Male (81.3%) was more than female, average age of cataract surgery was 19.3 years, the mean interval between cataract surgery and retinal detachment was 7.7 years. The most common type of the retinal break was round hole, the most common location of retinal break was inferotemporal quadrant. Total retinal detachment was 56.2%, the macula was detached in 87.5%. Anatomical success rate of primary operation was 43.8% and final success rate was 100%. Postoperative visual acuity was increased in 43.8%.
Retinal detachment following congenital cataract surgery had lower primary success rate due to difficulty in finding retinal breaks and frequent total retinal detachment. So we thought that vitrectomy and long-term intraocular tamponade for primary operation would increase success rate and improve postoperative visual prognosis.
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