Are all primary retinal detachments the same? Anatomic and functional differences between phakic and pseudophakic patients

Abstract

Key messages What is known Retinal detachment is a complication that leads to blindness without an early adequate treatment. There is a noticeable increase in the number of phacoemulsification surgeries performed due to a higher life expectancy and the boom of phacorefractive surgery that will lead to a growing incidence of pseudofaquic RD ( psRD). It is important to know the pathophysiology of pseudophakic retinal detachment considering a worse prognosis in psDR compared to phakic RD. What is new There are not many studies comparing both groups of retinal detachment considering lens status and none with such a high data. Our results found remarkable differences the anatomic and structural evolution with the poorer prognosis in the pseudophakic group. We believe that is neccesary to give a properly inform patients asking for phacorefractive surgery or cataract of the risks according to the age and other epidemiologic factors, considering a worse prognosis in PRD compared to phakic RD.

Keywords

• Pseudophakic retinal detachment
• Phakic retinal detachment
• Macula
• Posterior vitreous detachment