Development Of Posterior Vitreous Detachment After Lens Surgery In Myopic Eyes – 1-Year Results Of The Escrs Myopred Study

Published 2023 - 41st Congress of the ESCRS

Reference: FP23.11 | Type: Free paper | DOI: 10.82333/z3ch-xp27

Authors: Marlies Ullrich* ¹ , Hannah Zwickl ¹ , Caroline Pilwachs ¹ , Álvaro Fernández-Vega Sanz ² , Marie-José Tassignon ³ , Domagoj Ivastinovic ⁴ , Oliver Findl and the MYOPRED study group ¹

¹Vienna Institute for Research in Ocular Surgery (VIROS), Hanusch Hospital,Vienna,Austria, ²Instituto Oftalmológico Fernández-Vega,Oveido,Spain, ³Department of Ophthalmology, Antwerp University Hospital, University of Antwerp,Antwerp,Belgium, ⁴Department of Ophthalmology, Medical University of Graz,Graz,Austria

Purpose

To document the preoperative posterior hyaloid attachment status and to evaluate the rate and time course of posterior vitreous detachment (PVD) induction and progression in myopic eyes without preexisting complete PVD within the first year after lens surgery (cataract surgery or refractive lens exchange).

Setting

Prospective, multicenter study at 10 active European study centers: the European Society of Cataract and Refractive Surgeons (ESCRS) MYOpic Pseudophakic REtinal Detachment (MYOPRED) study

Methods

Myopic eyes with an axial length of ≥25.0 mm scheduled for lens surgery were included. Eyes with previous intraocular surgery, history of retinal detachment, trauma or uveitis were excluded. Preoperatively and at each follow-up visit, funduscopy and optical coherence tomography (OCT) were performed. At sites participating the ultrasound substudy, patients also received B-scan ultrasonography if the hyaloid was not visible on OCT. Patients were preoperatively allocated to 2 groups: complete PVD present or not (no PVD, incomplete PVD, unsure). All patients had a follow-up visit 2 months postoperatively, in the group without preoperative complete PVD additionally 6 months and 1 year after surgery or until presence of complete PVD.

Results

618 eyes of 618 patients were included in the MYOPRED study. As this is an ESCRS study of high importance, results could be added to the abstract by the end of June. The final results will be presented at the congress in Vienna.

Conclusions

Conclusions from the ESCRS MYOPRED study on PVD development after lens surgery in myopic eyes will be presented.