August 01, 2025
1 min learn
Key takeaways:
- Having a earlier retinal occasion could also be a threat issue for a recurrence after cataract surgical procedure.
- A higher length between the preliminary occasion and cataract surgical procedure could cut back recurrence threat.
LONG BEACH, Calif. —A earlier retinal tear or retinal detachment could also be a threat issue for growing a recurrent phakic retinal tear after cataract surgical procedure, in response to a speaker.
“We clearly know that retinal tears are a major concern due to the danger of retinal detachment, and the vary of retinal tears after cataract surgical procedure ranges from about 0.2% to 0.7%, particularly proven in one of many latest IRIS registry research,” Basil Okay. Williams Jr., MD, mentioned on the American Society of Retina Specialists annual assembly. “Retinal detachment charges range as effectively, however about 0.5% have been seen in a latest evaluation with fashionable phaco strategies.”
Utilizing the COSMOS database, Williams and colleagues recognized sufferers with beforehand handled retinal tears who later underwent cataract surgical procedure. Sufferers who underwent vitreoretinal surgical procedure or scleral buckling had been excluded.
Throughout 1,738 eyes, 5.3% skilled a subsequent retinal tear or retinal detachment. Noticed threat components included male intercourse (OR = 1.25; 95% CI, 1-1.55) and a number of retinal tears vs. a single earlier tear (OR = 2.67; 95% CI, 1.38-5.17). Moreover, a higher length of time between cataract surgical procedure and the preliminary occasion was related to a decreased threat for a recurrent occasion (> 6 months length: OR = 0.52; 95% CI, 0.4-0.68).
“After we evaluate those that developed a detachment vs. a tear, these with a detachment had a youthful age each at preliminary retinal tear and cataract surgical procedure and a shorter interval,” Williams mentioned. “Presumably ready 6 months in between retinal tear and cataract surgical procedure would possibly cut back the danger considerably.”
Sources/Disclosures
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Williams BK. Threat of recent retinal tear or detachment after cataract surgical procedure in sufferers with beforehand handled phakic retinal tears. Offered at: American Society of Retina Specialists annual assembly; July 30-Aug. 2, 2025; Lengthy Seaside, California.
Disclosures:
Williams reviews no related monetary disclosures.
