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¹Beyoğlu Göz Eğitim ve Araştırma Hastanesi, İstanbul, Uzm. Dr.
²Beyoğlu Göz Eğitim ve Araştırma Hastanesi, İstanbul, Asist. Dr.
³Beyoğlu Göz Eğitim ve Araştırma Hastanesi, İstanbul, Kinik şefi, Doç. Dr. Purpose: To evaluate the clinical features, surgical methods and results of surgery in retinal detachments (RD) developing after refractive lens excange (RLE) and phacic intraocular lens (PİL) implantation in highly myopic eyes.
Materials and Methods: Nine eyes of 7 patients who had rhegmatogenous retinal detachment after RLE and PİL implantation for high myopia were included in the study. Best corrected visual acuities (BCVA), duration between the refractive surgery (RS) and retinal detachment (RD), vitreoretinal findings, anatomic and functional success (at least 2 lines increase in visual acuity) were evaluated.
Results: Of the patients 4 were female, 3 were male. The mean age of 7 patients was 38.14±9.42. Posterior chamber phacic intraocular lens was implanted in 3 (33.3%) eyes, anterior chamber phacic intraocular lens was implanted in 1 (11.1%) eye and RLE was performed in 5 (55.5%) eyes. Mean interval between RS and RD was 63.66±42.3 months. Preoperative mean BCVA was 20/25000 (0.001) median proliferative vitreoretinopathy grade was B (A-D2). Eight (88.8%) eyes had macular detachment. Scleral buckling was performed in 1 eye, pars plana vitrectomy±scleral buckling was performed in 8 eyes. The mean follow up was 13.77±5.58 months after surgery. Retinal attachment was achieved with single operation in 6 (66.6%) eyes, with two surgeries in 2 (22.2%) eyes, and with three operations 1 (11.1%) eye. Final anatomical success rate was 100%. Functional successs was achieved in 7 (77.7%) eyes.
Conclusion: Retinal detachments following refractive surgery represent a complicated group of retinal diseases. However, successful anatomical and functional results can be obtained if appropriate treatment methods are prefered. Keywords : Myopia, phacic intraocular lens implantation, refractive lens exchange, retinal detachment