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Pseudophakic retinal detachment in young-aged patients

Poster Details

First Author: T.Laube GERMANY

Co Author(s):    C. Brockmann                    

Abstract Details


To investigate the incidence and risk factors for retinal detachment (RD) after cataract surgery or refractive lens exchange (RLE) in patients aged below 61 years.


Centre for Ophthalmology Duesseldorf, Priv.-Doz. Dr. Thomas Laube, Duesseldorf, Germany.


Retrospective medical chart review of 7,886 patients (13,925 eyes) who underwent cataract surgery or RLE. Patients aged below 61 years were selected. Age, gender, axial length, follow-up times, and the occurrence of RD were recorded. Additional characteristics documented for RD cases were: history of RD, preexisting retinal findings, laser capsulotomy, status of macula at RD, date and details of RD.


Twenty-four cases of RD were identified (N = 677). The cumulative incidence was 3.55 %. Axial length had a significant effect on the risk of pseudophakic RD (HR = 1.42, P = 0.0001, 95 % CI 1.19-1.69). The highest incidence of RD occurred in the subgroup of 25 to 29 mm axial length (10.2 %). With respect to age patients aged 50-54 years showed the highest incidence of RD (5.39 %). Compared to females, males had an almost twofold not significant risk of postoperative RD (HR = 1.96, P = 0.123, 95 % CI 0.83-4.63).


Axial length is a significant risk factor for pseudophakic RD. The need for cataract surgery or RLE should be carefully considered in patients with axial lengths between 25 and 29 mm, aged 50-54 years, and in males. Financial disclosure: None

Financial Disclosure:


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