Our Summary

This research study was carried out to understand the risk and outcome of having the retina detach again after cataract surgery, especially in eyes that have previously had a type of retinal detachment repair procedure known as scleral buckling. The study included patients who had this procedure between 2001 and 2010 at Norrlands University Hospital in Sweden, without any previous eye surgery or significant trauma.

Researchers checked the medical records of these patients to confirm their diagnosis and to see if any of them experienced a recurrence of retinal detachment and how their vision was affected. They also looked at how often redetachment occurred and how long it took from the time of the cataract surgery to the time of the redetachment surgery.

The results showed that out of the 537 patients, 145 had cataract surgery, with men having the surgery more often and at a younger age than women. Only 3 patients (2.1%) experienced a recurrence of retinal detachment after the cataract surgery. Their vision after the redetachment was 20/70, 20/25, and 20/30, respectively.

The study concluded that, for patients who have had the scleral buckling surgery, the risk of having the retina detach again after cataract surgery is low. Therefore, cataract surgery can be carried out safely without the need for extra care after the operation. However, it is crucial for patients who have had retinal detachment surgery to seek immediate medical help if they experience symptoms of redetachment, even many years after the cataract surgery.

FAQs

  1. What was the purpose of the research study conducted at Norrlands University Hospital in Sweden?
  2. What percentage of patients experienced a recurrence of retinal detachment after cataract surgery according to the study?
  3. What are the implications of the study for patients who have had the scleral buckling surgery and are considering cataract surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about retinal detachment surgery is to be vigilant about any changes in vision or symptoms such as flashes of light or floaters, as these can be signs of a possible retinal detachment. It is important to seek immediate medical attention if any of these symptoms occur, as early detection and treatment can help prevent further complications. Additionally, following post-operative care instructions and attending follow-up appointments with your doctor are crucial for monitoring your recovery and ensuring the success of the surgery.

Suitable For

Patients who are typically recommended retinal detachment surgery include those who have experienced symptoms of retinal detachment such as sudden flashes of light, floaters, or a dark curtain or shadow in their vision. Other factors that may warrant retinal detachment surgery include a history of previous retinal detachment in the same eye, a family history of retinal detachment, high levels of nearsightedness, previous eye surgeries, eye trauma, or certain medical conditions such as diabetes.

In the case of the research study mentioned above, patients who had previously undergone scleral buckling surgery for retinal detachment were considered for cataract surgery. The study found that the risk of redetachment after cataract surgery in these patients was low, indicating that cataract surgery can be safely performed in this population. However, close monitoring and prompt medical attention are still recommended for patients with a history of retinal detachment to prevent any potential complications.

Timeline

In summary, before retinal detachment surgery, a patient may experience symptoms such as sudden flashes of light, floaters in their vision, or a curtain-like shadow over their field of vision. They will likely undergo a comprehensive eye examination, including imaging tests, to confirm the diagnosis of retinal detachment.

After retinal detachment surgery, the patient will have a period of recovery that may include wearing an eye patch, using eye drops, and avoiding strenuous activities. They will have follow-up appointments with their eye surgeon to monitor their healing progress and ensure that the retina is properly reattached.

Overall, the goal of retinal detachment surgery is to preserve the patient’s vision and prevent further complications. It is important for patients to follow their doctor’s instructions closely and seek immediate medical attention if they experience any new or worsening symptoms after the surgery.

What to Ask Your Doctor

  1. What is the likelihood of my retina detaching again after cataract surgery, especially if I have previously had retinal detachment repair surgery?

  2. What are the symptoms of retinal detachment that I should watch out for after cataract surgery?

  3. How soon after cataract surgery should I seek medical attention if I experience any symptoms of retinal detachment?

  4. Are there any specific precautions or post-operative care measures I should take to reduce the risk of retinal detachment after cataract surgery?

  5. What is the success rate of redetachment surgery for patients who have previously had retinal detachment repair surgery?

  6. How will my vision be affected if my retina detaches again after cataract surgery?

  7. Are there any lifestyle changes or activities I should avoid to prevent retinal detachment after cataract surgery?

  8. How long should I wait before getting cataract surgery if I have had retinal detachment repair surgery in the past?

  9. Are there any alternative treatment options or preventive measures I should consider to reduce the risk of retinal detachment after cataract surgery?

  10. What are the potential complications or risks associated with retinal detachment surgery, especially for patients who have previously had retinal detachment repair surgery?

Reference

Authors: Forsell S, Mönestam E. Journal: Ophthalmol Retina. 2018 Jan;2(1):4-9. doi: 10.1016/j.oret.2017.03.014. Epub 2017 May 27. PMID: 31047301