Purpose To explore the characteristics of eyes after congenital cataract surgery and to evaluate the methods of different retinal detachment surgery in those eyes. Method We retrospeetively reviewed the cli ncal data of 44 eyes with rhegmatogenous retinal detachment (RRD) after congenital cataract surgery,and compared the surgical results between scleral buckling and vitrectomy in those eyes.The mean interval between the congenital cataract surgery and RRD of the affectde eyes was 14.8 years and most of the techniques of cataract surgery was irrigation-aspiration and capsulotomy was performed in nearly all eyes. The mean axis length in 16 eyes was (26.8 plusmn;1.90) mm. Results The success rate was 80.3% in scleral buckling and 85.7% in vitrectomy. Conclusion There is a long interval between congenital cataract surgery and RD.The pupil of these eyes is often small and immobile,causing diffculty in visualizing the peripheral retina ,decreasing the success rate of scleral buckling operation.Vitrectomy is an ideal chocie for such eyes. (Chin J Ocul Fundus Dis,2000,16:71-138)
Citation: XU Gezhi,WANG Wenji,CHEN Qinyuan,et al.. Surgical treatment of retinal detachment after congenital cataract operation. Chinese Journal of Ocular Fundus Diseases, 2000, 16(2): 104-105. doi: Copy