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S.B. Ank. Hast. Göz Kliniği Purpose: The anatomic and functional results of the conventional primary pseudophakic retinal detachments in the eyes with complicated and uncomplicated cataract surgery. The intraocular lens implantations (IOL) are grouped as; 1 )intercapsular IOL 2) posterior chamber IOL with the support of both anterior ond posterior capsules with capsulozonular defect 3 ) posterior chamber IOL with suboptimal posterior capsular support 4) anterior chamber IOL.
Method: Thirty two patients who had primary pseudophakic retinal detachment surgery in Ankara Hospital between 1989 and 1994 were studied. The patients who had pars plana vitrectomy as a primary surgery were not included in this study.
Results: The patients were followed up at least for 6 months postoperatively. The anatomical success rate was 88 % in the eyes with an intercapsular IOL implantation without any commplication, 78 % in the eyes with a posterior chamber IOL with the support of anterior and posterior capsules with a capsulozonular defect, 80 % in the eyes with a posterior chamber IOL with suboptimal posterior capsular support and 80 % in the eyes with anterior chamber IOL.
Conclusion: The anatomical success rate was not significantly different in the IOL groups but the visual results in the anterior chamber IOL group was worse than the posterior chamber groups. A cataract extraction without any complication and a posterior chamber IOL implantation is the best alternative for a successful retinal detachment surgery. Keywords : Pseudophakic retinal detachment, intraocular lens implantation, capsulozonular defect