Author/Authors :
Jorge L. Alio، نويسنده , , Joé M. Ruiz-Moreno، نويسنده , , Mohamed H. habayek، نويسنده , , Francico L. Lugo، نويسنده , , Ayman M. Abd El Rahman، نويسنده ,
Abstract :
Purpoe
Report incidence and rik of retinal detachment (RD)after coaxial phacoemulification in high myopic patient.
Deign
Retropective conecutive interventional tudy.
Method
etting: Vium-Intituto Oftalmologico de Alicante, pain. patient or tudy population: A total of 439 eye from 274 high myopic patient with pherical equivalent (E) ≥ 6.00 diopter (D) or axial length ≥ 26.00 mm. Mean age 62.2, axial length 27.88 ± 2.11 mm (26.0 mm to 37.9 mm), E –13.3 ± 5.6 (–6.00 D to –46.0 D). main outcome meaure: Incidence of RD, vitreou lo, and neodymium yttrium aluminum garnet (Nd:YAG) capulotomy were evaluated after urgery at one, three, ix, and 12 month then annually with mean follow-up 61.5 ± 29.6 month.
Reult
Incidence of RD wa 2.7% (12/439 eye). In eye with ≤ 50 year of age wa 3.65% (three eye) compared with eye with > 50 year of age wa 2.52% (nine eye). Cumulative rik of RD development by Kaplan-Meier analyi in all patient wa 0.47%, 0.71%, 1.71%, 2.59%, and 3.28% at three, ix, 15, 48, and 63 month until 105 month, repectively. In eye ≤ 50 year of age: the rik increae to 1.23% at three month and 4.46% at 63 month until 147 month, wherea eye with > 50 year of age wa 0.58% and 2.96% at ix and 52 month until 118 month after cataract urgery, repectively. No ignificant correlation wa found between the occurrence of RD and vitreou lo (P ≤ .33) or Nd:YAG capulotomy (P ≤ .50 Chi-quare tet).
Concluion
The incidence of RD in high myopic patient after coaxial phacoemulification i 2.7%. A trend toward an increaed incidence and rik in patient younger than 50 year of age wa detected in thi tudy.