Long-term complications of refractive lens exchange
Higher rate of PCO after RLE than after cataract surgery, due to the younger age of patients
Leigh Spielberg
Published: Wednesday, February 15, 2017
Each millimeter of axial length may increase RD risk after capsulotomy by a factor of 1.5“In fact, each millimeter of axial length may increase RD risk after capsulotomy by a factor of 1.5,” warned Dr Findl. Other risk factors include male gender and age less than 60 years, and most detachments occur within the first five years after surgery. This might be related to the postoperative occurrence of a posterior vitreous detachment (PVD), which vastly increases the risk of RD in eyes that had not yet undergone prior to surgery. The ESCRS is currently investigating the problem with the MyopReD study. This international, multicentre study will determine the precise influence of PVD on RD rates after lens surgery in over 600 myopic eyes with an axial length of 25.00mm or more.
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