Progression of posterior vitreous detachment after cataract surgery

Purpose To compare the progression of posterior vitreous detachment (PVD) between eyes that underwent cataract surgery and eyes that did not undergo surgery in non-highly myopic patients. Methods One-hundred twenty-five eyes of 125 patients scheduled for phacoemulsification and 125 eyes of 125 age-m...

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Bibliographic Details
Published in:Eye (London) 2022-10, Vol.36 (10), p.1872-1877
Main Authors: Hayashi, Shunsuke, Yoshida, Motoaki, Hayashi, Ken, Tsubota, Kazuo
Format: Article
Language:English
Subjects:
692/699/3161/3168
692/699/3161/3179
Cataracts
Eye surgery
Laboratory Medicine
Medicine
Medicine & Public Health
Ophthalmology
Patients
Pharmaceutical Sciences/Technology
Surgery
Surgical Oncology
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Summary:Purpose To compare the progression of posterior vitreous detachment (PVD) between eyes that underwent cataract surgery and eyes that did not undergo surgery in non-highly myopic patients. Methods One-hundred twenty-five eyes of 125 patients scheduled for phacoemulsification and 125 eyes of 125 age-matched patients who did not undergo surgery were enrolled. PVD status was evaluated using swept-source optical coherence tomography at 2 days (baseline), and 1, 3, 6, and 12 months postoperatively, and classified into five stages: 0 (no), 1 (paramacular), 2 (perifoveal), 3 (peripapillary), and 4 (complete). The PVD stage and incidence of progression to complete PVD were compared between groups. Results The mean PVD stage significantly progressed over the 12 months in the surgery group ( P  = 0.0004), but did not change significantly in the non-surgery group. The PVD stage did not differ significantly between groups at 2 days, or 1, 3, and 6 months postoperatively, but was significantly more progressed in the surgery group than in the non-surgery group at 12 months ( P  = 0.0390). After adjusting for age, sex, axial length, and baseline PVD stage, the relative risk for progression to complete PVD was 7.1-fold higher in the surgery group than in the non-surgery group ( P  
ISSN:0950-222X
1476-5454
DOI:10.1038/s41433-021-01732-6