[Retinal detachment in pseudophakia].

The author evaluates the prevalence and results of surgical treatment of retinal detachment (RD) after implantation of intraocular lenses in a group of 10,185 eyes operated at the First and Second Ophthalmological Clinic from 1988 to the end of 1993. Retinal detachment was observed in 0.4% of artephakic eyes. A striking risk factor for the development of RD was in particular loss of the vitreous body during cataract operation, a previous injury, myopia and YAG capsulotomy. The presence of an intraocular lens did not influence in a substantial way the selection of the surgical procedure. In cases with a complicated finding in the anterior segment and the retina the authors selected more frequently pars plana vitrectomy (PPV) with internal tamponade with an expansive gas or silicone oil (in 44.3% eyes). The retina became attached in 90.4% of the eyes, while in patients operated by cryosurgery anatomical success was achieved in 82.1% of the eyes and in the group operated by PPV with internal tamponade in 100% of the eyes. Functional improvement, as compared with the condition before surgery of RD, was achieved in 48.9% of successfully operated eyes. In the PPV group the authors observed, however, substantially poorer functional results as compared with cryosurgery. In complicated artephakic RD PPV with internal tamponade contributed to a striking improvement of anatomical results but the poorer functional results after PPV in complicated RD provide evidence of a poorer prognosis of artephakic RD, as compared with aphakic ones.