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Posterior vitreous detachment rates post-uncomplicated phacoemulsification surgery: a systematic review

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Abstract

Purpose

It is commonly accepted that phacoemulsification surgery is a risk factor for the development of posterior vitreous detachment (PVD) and may accelerate the process. This is an important consideration particularly in cases involving young patients who pre-operatively have no PVD, given the increased risk of retinal tears and detachments.

Methods

A comprehensive literature search was conducted to identify studies reporting incidence of PVD post-uncomplicated phacoemulsification surgery. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement was used for search strategy. Of 3071 titles, 7 studies met the inclusion criteria; The outcomes measured were PVD occurrence by (1) time, (2) type, (3) age, (4) gender and (5) axial length, with all statistical analysis performed using Review Manager.

Results

A total of 2034 eyes were included for analysis with a mean follow-up time of 28.3 months. 33.3% of patients developed a PVD, either partial or complete, with rates increasing in a time dependent manner. No significant difference was noted in sub-group analysis by age, gender or axial length.

Conclusions

The results from our systematic review show that uncomplicated phacoemulsification accelerates the physiological process of PVD development. Pre-operative evaluation of the vitreoretinal interface should be performed with careful post-operative follow-up advised in those without a pre-existing PVD.

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Acknowledgements

This study was award the European Society of Cataract and Refractive Surgeons (ESCRS) Systematic Review Award.

Funding

The authors have not disclosed any funding.

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Authors and Affiliations

  1. Department of Ophthalmology, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, D07 R2WY, Ireland

    Daire J. Hurley, Patrick Murtagh & Marc Guerin

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  1. Daire J. Hurley
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  2. Patrick Murtagh
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  3. Marc Guerin
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Contributions

All authors were involved in study conceptualization and design. DJH and PM—independently performed a literature search with MG arbitrating on any disagreement; DJH—performed statistical analysis and wrote the initial draft of the manuscript; MG and PM—reviewed and made edits to the manuscript. All authors have read and agreed to the published version of the manuscript.

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Correspondence to Daire J. Hurley.

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Hurley, D.J., Murtagh, P. & Guerin, M. Posterior vitreous detachment rates post-uncomplicated phacoemulsification surgery: a systematic review. Int Ophthalmol 44, 155 (2024). https://doi.org/10.1007/s10792-024-03091-z

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