Pseudophakic Retinal Detachments

Primary scleral buckling procedures were performed for rhegmatogenous retinal detachments in a consecutive series of 179 pseudophakic eyes. Most cases involved eyes in which extracapsular surgery had been combined with iridocapsular implants or posterior chamber lenses or in which iris-fixation IOLs were placed following intracapsular surgery. The characteristics of the detachments were similar, regardless of the type of cataract surgery employed, although there was a trend toward an increased incidence of significant preoperative proliferative vitreoretinopathy in the intracapsular cases. Anatomic success rates were greater than 90% in all groups. There was a trend for lower visual acuities following successful surgery in the eyes in which intracapsular surgery had been performed than in those following extracapsular procedures.