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Research ArticleOriginal Article
Open Access

Frequency of retinal detachment after cataract surgery in highly myopic patients

Abdul-Rahman Al Muammar, Dora Al-Harkan, Sultan Al-Rashidy, Sarah Al-Suliman and Ahmed Mousa
Saudi Medical Journal May 2013, 34 (5) 511-517;
Abdul-Rahman Al Muammar
Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
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Dora Al-Harkan
Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
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Sultan Al-Rashidy
Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
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Sarah Al-Suliman
Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
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Ahmed Mousa
Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
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Abstract

OBJECTIVE: To determine the potential risk factors for retinal detachment after cataract surgery.

METHODS: In this retrospective cohort study, medical records of patients operated on between 2000 and 2010 at the Department of Ophthalmology, King Abdulaziz University Hospital, Riyadh, Kingdom of Saudi Arabia were retrospectively reviewed for both demographic and clinical data. Cases were identified as having an ocular axial length >/=25 mm, while a control group of 500 eyes (axial length range; 22-24 mm) was sampled. Data were analyzed to compare both groups, and to assess potential risk factors for post-cataract retinal detachment.

RESULTS: We reviewed 852 eyes of 721 patients; 352 eyes with documented high myopia were compared with 500 control eyes. After a mean follow up of 45.1 +/- 27.9 months, the postoperative mean LogMAR visual acuity significantly differed; 0.51 +/- 0.48 for cases and 0.38 +/- 0.41 for controls (p<0.0001). Controls showed significantly better postoperative vision as measured by LogMAR (0.92 +/- 0.7) than cases (0.71 +/- 0.61) (p<0.0001). Twelve eyes (1.4%) had retinal detachments postoperatively. The RD prevalence was significantly higher among cases (10 [2.8%]) than controls (2 [0.4%]) (p=0.007). High axial length was the only significant risk factor for retinal detachment (p=0.005) even after multivariate adjustment (p=0.019).

CONCLUSION: High axial length among myopic cataract patients may increase the risk of postoperative retinal detachment.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial License (CC BY-NC), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 34 (5)
Saudi Medical Journal
Vol. 34, Issue 5
1 May 2013
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Frequency of retinal detachment after cataract surgery in highly myopic patients
Abdul-Rahman Al Muammar, Dora Al-Harkan, Sultan Al-Rashidy, Sarah Al-Suliman, Ahmed Mousa
Saudi Medical Journal May 2013, 34 (5) 511-517;

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Frequency of retinal detachment after cataract surgery in highly myopic patients
Abdul-Rahman Al Muammar, Dora Al-Harkan, Sultan Al-Rashidy, Sarah Al-Suliman, Ahmed Mousa
Saudi Medical Journal May 2013, 34 (5) 511-517;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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