Pseudophakic retinal detachment. Surgical success rate with various types of IOLs.

The overall anatomic success rate of surgical treatment of 122 consecutive cases of pseudophakic retinal detachment was 82%. In 78 eyes with iris-supported intraocular lenses (IOLs), the success rate was 83%, and it did not differ between the 47 eyes with intracapsular and the 31 eyes with extracapsular extraction. Reattachment rate was highest in 14 eyes with posterior chamber IOLs (100%) and lowest (70%) in 30 eyes with anterior chamber IOLs. Low success rate was associated with the preoperative findings of vitreous gel in the anterior chamber in front of the IOL, vitreous reaction, and vitreous hemorrhage, all of which were found most frequently with retinal detachment in eyes with anterior chamber IOLs. Of the 30 eyes with anterior chamber IOLs, 43% required repeat operations, 43% had perioperative complications, and only 14% of the 21 successful cases achieved 20/40 or better postoperative vision.