MANAGEMENT OF PSEUDOPHAKIC RETINAL-DETACHMENT WITH VARIOUS INTRAOCULAR-LENS TYPES

In the last five years, 25 cases of retinal detachment (RD) after intr aocular lens implantation were treated in the University Eye Clinic of Thessaloniki. The incidence of RD was lower with posterior chamber in traocular lens (PC-IOL, 0.46%) implantation than in the cases with ant erior chamber IOL (AC-IOL, 2.6%) implantation. The successful reattach ment rate was higher with PC-IOL (100%) than in cases with AC-IOL wher e the low success (87%) rate was caused by proliferative vitreoretinop athy. Therefore, the eyes with AC-IOL required reoperation more freque ntly, and the ultimate failure rate (despite multiple operations) was higher in the AC-IOL group. Conventional surgical techniques were used in the first procedure. In the reoperated cases, the most advanced te chniques were used, such as vitrectomy combined with gas or silicone o il injection.