Aphakic Retinal Detachment

Aphakic retinal detachment.

A study of 132 cases of aphakic retinal detachment (ARD) following mainly intracapsular cataract surgery has been made. Forty-nine cases (37%) were found to have vitreous incarcerated into the cataract section out of a total of 54 (41%) cases who had suffered a vitreous complication during cataract surgery. A study of the characteristics of ARD reveals that those cases having had a vitreous com...

Prevalence of aphakic retinal detachment.

Surgery of aphakic retinal detachment.

In a prospective study 84 patients with aphakic retinal detachment were treated either by local scleral buckling alone or combined with an encirclement. The rate of surgical reattachment of the retina was found to be similar with either technique over a minimum follow-up period of one year. Simplicity and a low incidence of serious complications of the local procedure merit its application as t...

Intravitreal air in aphakic retinal detachment.

The use ofintravitreal air, first mentioned by Arruga (I 936), is not popular in the treatment ofaphakic retinal detachments for two basic reasons: (I) The air may move the iris diaphragm forwards-causing an angle-block glaucoma. (2) The air itselfmay escape into the anterior chamber and remain there. The injection of air in cases of phakic retinal detachment is well known (Rosengren, I938), bu...

Extraction of Soemmerring's ring. Before retinal surgery in aphakic detachment.

Norton (i 964) showed that retinal detachment in aphakia has a more favourable prognosis than previous workers had suggested (Schepens, 1951; Hughes, 1952; Colyear and Pischel, 1956). A small group of cases remains in which the outcome of retinal surgery is prejudiced by dense lens remnants. The major factors contributing to failure in such cases are inadequate fundus view and vitreous retracti...