Rhegmatogenous Retinal Detachment After Phakic Posterior Chamber Intraocular Lens Implantation
Published 2022
- 40th Congress of the ESCRS
Reference: PP27.10
| Type: ESCRS 2022 - Posters
| DOI:
10.82333/v6rr-hs24
Authors:
Lala Akhundova* 1
, Khalil Huseynov 2
, Susanna Aliyeva 1
1Vitreo Retina,Zarifa Aliyeva National Ophthalmology Centre,Baku,Azerbaijan, 2Republican Diagnostic Centre,Baku,Azerbaijan
Purpose
To report the clinical presentation, surgical management, and outcomes of rhegmatogenous retinal detachment (RRD) in patients with severe myopia corrected by posterior chamber phakic intraocular lens implantation.
Setting
National Ophthalmology Centre named acad. Zarifa Aliyeva, Baku, Azerbaijan
Republican Diagnostic Center
Methods
Retrospective, interventional case series. We analyzed the incidence of rhegmatogenous retinal detachment in 500 eyes that received a posterior chamber hydrogel collagen plate phakic IOL (Staar Collamer Implantable Contact Lens, ICL) for the correction of their myopia between 2000-2021. The follow-up period was at least 1 year.
Results
Mean age of the patients was 31.6 years (range, 25-36 years). Primary RRD developed in 5 eyes of 5 patients. Mean preoperative spherical equivalent (SE) was -19.9+/- 3.9diopters (D) (range, -15.5D to -25.5D). Pars plana vitrectomy with ICL explantation at primary surgery combined with phacoemulsification was performed in 4 cases ( 80%), without ICL explantation in 1 case (20%). Single surgery anatomical success was 80%. Final retinal reattachment was 100%. BCVA preoperative was 1.95+/- 1.16 LogMAR, postoperative was 0.69+/- 0.49 LogMAR. Postoperative complications noted in single case of non-explantation of ICL, such as mydriasis, occurrence of anterior and posterior synechia, total cataract, chronic anterior uveitis.
Conclusions
Rhegmatogenous retinal detachment after ICL implantation is rare complication. Surgical management of RRD was successful in restoring vision in our patients. We recommend ICL explantation and combined phacoemulsification surgery with PCIOL implantation at primary surgery to prevent further anterior and posterior complications.