Risk Factors For Rhegmatogenous Retinal Detachment Following Cataract Surgery: A 5-Year Retrospective Analysis
Published 2025 - 43rd Congress of the ESCRS
Reference: PO292 | Type: Free paper | DOI: 10.82333/8r03-ta97
Authors: Hatem Ali Elsersawy 1 , Hazem Yassin* 1 , Ahmed Ibrahim 2
1Ophthalmology ,Hazem Yassin clinics ,Cairo ,Egypt, 2Software Engineering,eccosapiens,Cairo,Egypt
Purpose
To report characteristics and outcome of rhegmatogenous retinal detachment (RRD) following cataract extraction and identify potential risk indicators in myopic eyes.
Setting
Both institutions(Azerbaijan Medical University anD National Prime Hospital) maintain comprehensive electronic medical record systems, enabling detailed documentation of patient characteristics, surgical parameters, complications, and follow-up assessments. The study period from 2019 to 2024 was selected to ensure adequate follow-up time and sufficient sample size to identify the relatively rare complication of post-cataract surgery rhegmatogenous retinal detachment.
Methods
A retrospective cohort analysis examining patients who underwent cataract removal at National Prime Hospital in Baku between 2019-2024. These records were cross-matched with retinal detachment surgical cases performed at Azerbaijan Medical University Ophthalmology department and National Prime Hospital during the same period. The primary outcome measured was post-cataract surgery RRD. Factors analyzed included gender, patient age, ocular axial length, posterior capsule disruption, patient health conditions, and other surgical complications.
Results
Among 14,656 cataract surgeries, we identified 74 cases of rhegmatogenous retinal detachment (RRD) (0.13%). The mean interval between cataract extraction and RRD diagnosis was 167 days. RRD patients were younger (mean age 65.3 years) compared to non-RRD patients (74 years). Age stratification revealed decreasing RRD risk with increasing age: patients under 60 had 0.13% incidence, 60-75 years showed 0.04%, and over 75 years had 0.01%.Axial length showed strong correlation with RRD risk, averaging 25.13 mm in RRD cases versus 23.73 mm in non-RRD patients (p<0.001). Males represented 68.8% of RRD cases, despite comprising only 43.2% of the total cohort.
Conclusions
The three principal risk indicators for post-cataract surgery RRD were identified as gender, age, and axial length. The highest RRD rate (2.37%) was observed among male patients younger than 60 with axial length measurements ≥25 mm.