Cataract Progression after Primary Pars Plana Vitrectomy for Uncomplicated Rhegmatogenous Retinal Detachments in Young Adults
Recommended Citation
Kasetty VM, Monsalve PF, Sethi D, Yousif C, Hessburg T, Kumar N, Hamad AE, and Desai UR. Cataract progression after primary pars plana vitrectomy for uncomplicated rhegmatogenous retinal detachments in young adults. Int J Retina Vitreous 2024; 10(1):19.
Document Type
Article
Publication Date
2-21-2024
Publication Title
Int J Retina Vitreous
Abstract
BACKGROUND: Scleral buckling is typically implemented to repair rhegmatogenous retinal detachments (RRD) in young patients. Therefore, there is limited data on post-pars plana vitrectomy (PPV) cataract formation in this cohort. We report the rates and risk factors of cataract progression after PPV for RRD repair in young eyes.
METHODS: Retrospective single-center cohort study. Medical records of patients between the ages of 15 to 45 undergoing PPV for uncomplicated RRD between 2014 and 2020 were reviewed.
RESULTS: Twenty-eight eyes from 26 patients met inclusion criteria. Cataracts developed in 20/28 (71%) eyes after PPV. After PPV, nuclear sclerotic cataract (NSC) rates were higher in patients above 35 (65%) compared to below 35 years (18%) (p = 0.024). Cataracts developed more frequently after macula-off RRDs (88%) compared to macula-on RRDs (50%) (p = 0.044) with NSC more common in macula-off detachments (p = 0.020). At postoperative month 2, all eyes with C(3)F(8) gas developed cataracts compared to 59% of eyes with no gas (p = 0.040).
CONCLUSIONS: Cataract formation was common and frequent after PPV. After PPV, young eyes and macula-on detachments developed cataracts less frequently than older eyes and macula-off detachments. If appropriate, a shorter acting gas tamponade should be considered in young eyes to minimize cataract formation.
PubMed ID
38383511
Volume
10
Issue
1
First Page
19
Last Page
19
