Retina-Vitreous
1996 , Vol 4 , Num 1
Aphakic Retinal Detachment Clinical Characteristics and Anatomic and Visual Results
1Gazi Üni.Tıp Fak. Göz Hastalıkları AD.2Dicle Üniv. Tıp Fak. Göz Hast. AD. We reviewed clinical characteristics, anatomic and visual results of 340 aphakic retinal detachment patients of at least 6 month follow-up (Mean=39±24.8 month) who underwent surgery between 1984-1995 (June) in Gazi University Medical Faculty Department of Ophthalmology. 272 of 340 patients (%80) had ICCE previously and 68 of 340 patients (%20) had ECCE. 241 of 340 patients (%70.8) were male and 99 of 340 patients (%29.2) were female. Mean age was 55.4±14.6. In 64 patients (%18.8), there was no detected retinal breaks. Superior temporal breaks (98/276=%35.5) and superior nasal breaks (95/276=%34.4) were found to be the most frequent localisations in the regmatogenous retinal detachment were present. We found macular involvement in 285 patients (%83.8) and presence of PVR Grade-C3-D in 73 patients (%21.5). Anatomic success rate was found 289 of 340 patients (%85) and 223 of 340 patients (%65.6) had a postoperative visual acuity 1/10 or more. Patients in groups with a detachment period longer than 3 months, presence of PVR grade-C3-D, total retinal detachment, no detected retinal breaks and preoperative visual results (P<0.05). In comparision with clinical characteristics, anatomic and visual results no statistical significant differences were found between ICCE and ECCE groups (p>0.05). Keywords : Aphakia, Retinal Detachment, Cataract Aphakic Retinal Detachment