June 2020
Volume 61, Issue 7
Free
ARVO Annual Meeting Abstract  |   June 2020
IMPACT OF PSEUDOPHAKIA IN IDENTIFICATION OF RETINAL BREAKS PRIOR TO RETINAL DETACHMENT SURGERY
Author Affiliations & Notes
  • Brian Krawitz
    Ophthalmology, Columbia University Medical Center, New York, New York, United States
  • Mark P Breazzano
    Ophthalmology, Columbia University Medical Center, New York, New York, United States
  • Tongalp H Tezel
    Ophthalmology, Columbia University Medical Center, New York, New York, United States
  • Footnotes
    Commercial Relationships   Brian Krawitz, None; Mark Breazzano, None; Tongalp Tezel, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2020, Vol.61, 4390. doi:
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      Brian Krawitz, Mark P Breazzano, Tongalp H Tezel; IMPACT OF PSEUDOPHAKIA IN IDENTIFICATION OF RETINAL BREAKS PRIOR TO RETINAL DETACHMENT SURGERY. Invest. Ophthalmol. Vis. Sci. 2020;61(7):4390.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To examine the effect of lens status on the likelihood of preoperative missed retinal breaks in rhegmatogenous retinal detachments, and determine if these breaks are more likely to be clinically significant.

Methods : A retrospective review was performed of phakic and pseudophakic eyes with primary rhegmatogenous retinal detachments that underwent surgical repair. A “missed retinal break” was classified as a break that was not identified on preoperative exam but was found in the operating room during repair. Missed breaks were further classified as “clinically significant missed breaks” if no break was found preoperatively, or if they were located more than 3 clock hours away from the preoperative identified breaks. Analysis was conducted using the Pearson Chi-square test.

Results : 110 phakic and 65 pseudophakic eyes were included for analysis. 17 phakic (15.5%) and 33 pseudophakic (50.7%) eyes had at least one missed retinal break. Of these eyes with missed retinal breaks, 5/17 (29.4%) had clinically significant missed breaks in the phakic group, versus 23/33 (69.7%) in the pseudophakic group. Chi-square analysis demonstrated a significant relationship between lens status and the presence of a missed retinal break (p<0.001), as well as on subanalysis when comparing lens status to the presence of a clinically significant missed break (p=0.007).

Conclusions : Pseudophakic eyes in primary rhegmatogenous retinal detachments are more likely to have missed retinal breaks preoperatively, and these breaks tend to be more clinically significant when compared to phakic eyes. These are important considerations when examining patients with rhegmatogenous detachments and choosing methods for surgical repair.

This is a 2020 ARVO Annual Meeting abstract.

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