PROSPECTIVE-STUDY OF CATARACT-SURGERY, CAPSULOTOMY, AND RETINAL-DETACHMENT

We report the incidence of retinal detachment (RD) in 1543 consecutive cases of cataract extraction in a prospective cohort study. Retinal d etachment was significantly associated with intracapsular extraction, axial lengths of 24.0 mm or longer and an intact capsule, and capsulot omy in eyes with axial lengths of 24.0 mm or longer. The interval betw een capsulotomy and RD was significantly shorter in eyes with axial le ngths of 24.0 mm or greater. An intraocular lens with stiff, vaulted, poly(methyl methacrylate) optics and a biconvex PMMA optic was associa ted with significantly less capsule opacification than lenses of other designs.