Aphakic and Phakic Retinal Detachment

Abstract

A population of rhegmatogenous, nontraumatic, primary retinal detachments of 4,922 patients (5,500 eyes) was used for this investigation. This selected population was divided into two groups: aphakic retinal detachment, composed of 1,240 patients (1,374 eyes) and phakic retinal detachment which included 3,682 patients (4,126 eyes). The preoperative features are delineated and the two groups are compared as to age, sex, right eye versus left eye, bilaterality, type and quadrantal distribution of retinal breaks, type and extent of retinal detachment, fixed retinal folds and massive preretinal retraction, demarcation lines, acquired retinoschisis, myopia, peripheral degeneration, choroidal detachment, glaucoma, vitreous or subhyaloid hemorrhage, uveitis, and macular degeneration. The time lapse between cataract extraction and retinal detachment is examined. The origin of the differences between the two groups is discussed.