![]() ![]() Trans-scleral sutureless vitrectomy with a 25-G system for rhegmatogenous retinal detachment treatment. The authors declared no conflicts of interest.PEREZ-GONZALEZ, L.E. The time between cataract Conflict of interest Cumulative incidence of pseudophakic RD goes from 0.36% over 10 years follow-up up to 2.31% during 8 years follow-up.12, 13 Studies with a longer follow-up report a higher cumulative incidence of 0.1–0.2% for each additional year after phacoemulsification. ![]() Many studies have shown a causal relationship between lens extraction and RD,1, 2, 3, 6, 12 that despite having a low incidence, its sequelae are serious and can be devastating without proper and prompt management. In terms of age groups, we found that 57.28% of the patients under 50 years of age in the 10-year follow-up after cataract extraction had presented a RD. Cases mean age when the cataract surgery occurred, was 57 ± 13 (range 4–88) younger compared with controls 67 ± 14 (range 5–96. The study population was composed of 51.6% females with an average age at cataract surgery of 63 ± 14 (range 4–96) years. There was a total of 802 eyes of 783 patients with cataract surgery. The database of all the surgeries performed at the study site between 20 was reviewed. The study was carried out with data from Cali Ophthalmology Clinic, an ophthalmological referral center in the Colombian southwestern region. The study was approved by the Research Ethics Committee of the Faculty of Medicine at Pontifical Xavierian University Cali-Colombia (No. We carried out a retrospective case-control study to identify associated factors with RD after cataract surgery. Identifying these outcomes could help reduce and prevent this entity, which is the cause of irreversible visual sequelae worldwide.5, 10 This study aims to determine the associated factors with a pseudophakic RD in patients with a history of cataract surgery with long-term follow-up. To our knowledge, there is no data in Latin America describing the demographic characteristics and long-term postoperative clinical outcomes of pseudophakic RD. The incidence of RD in the general population without cataract surgery has been estimated between 0.0061–0.0179% per year, while after cataract extraction it increases up to 0.6–1.7% during the first postoperative year. 3 The incidence of pseudophakic RD varies widely in the literature,6, 9 this variation may reflect differences in complication rates and study follow-up duration. It has been reported that up to 40% of patients with RD who are referred to a retina specialist have a history of cataract surgery. Potentially modifiable risk factors include surgical complications such as capsule rupture or subsequent interventions such as YAG laser capsulotomy.4, 5, 6, 7, 8, 9 Studies have found that the incidence of posterior vitreous detachment (PVD) increases after cataract surgery, therefore the preoperative and postoperative vitreous status continues to be an area of interest due to its relationship with RD.10, 11, 12 These risks may not be modifiable such as sex, age, or axial length of the eye. Despite numerous advances in surgical technique the risk of developing a retinal detachment (RD) increases with a history of cataract surgery, and even more if there is any complication during it.1, 2, 3 Several risk factors for the development of a pseudophakic RD have been identified. ![]()
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