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Posterior vitreous detachment after cataract surgery in eyes with high myopia: an optical coherence tomography study

  • Clinical Investigation
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Abstract

Purpose

To compare the progression of posterior vitreous detachment (PVD) after cataract surgery in eyes with high myopia with that in eyes without high myopia.

Study design

Prospective observational study.

Methods

Eighty eyes of 80 patients with high myopia and 160 eyes of 160 patients without high myopia scheduled for phacoemulsification were recruited. PVD status was examined using swept-source optical coherence tomography at 2 days postoperatively (baseline) and at 3, 6, and 12 months postbaseline and classified into 5 stages: 0 (no PVD), 1 (paramacular PVD), 2 (perifoveal PVD), 3 (peripapillary PVD), and 4 (complete PVD). The PVD stage and incidence of progression to complete PVD of the 2 groups were compared.

Results

The mean PVD stage did not differ significantly between the groups at baseline or at 3 months postbaseline but was significantly more progressed in the high myopia group than in the nonhigh myopia group at 6 months and 12 months postbaseline (P ≤ 0.0201). The Kaplan–Meier survival rate for complete PVD was significantly lower in the high myopia group (P = 0.0129). After adjusting for age, sex, and baseline PVD stage, the hazard ratio for complete PVD was 1.68-fold higher in the high myopia group than in the nonhigh myopia group (P = 0.0326, 95% CI 1.04–2.70).

Conclusion

After cataract surgery, PVD progressed significantly faster in eyes with high myopia than in eyes without high myopia, and the relative risk for complete PVD was 1.68-fold higher in eyes with high myopia, suggesting that highly myopic eyes are at considerably high risk for retinal disease postoperatively.

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Acknowledgements

The authors thank Dr Koji Yonemoto (Ryukyu University, Naha, Japan) for assistance with the statistical analysis.

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Authors and Affiliations

  1. Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka, 812-0011, Japan

    Ken Hayashi, Motoaki Yoshida & Akira Hirata

  2. Department of Ophthalmology, National Hospital Organization Saitama Hospital, Wako, Japan

    Shunsuke Hayashi

  3. Department of Ophthalmology, Faculty of Medicine, Keio University, Tokyo, Japan

    Shunsuke Hayashi

Authors
  1. Ken Hayashi
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  2. Motoaki Yoshida
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  3. Shunsuke Hayashi
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  4. Akira Hirata
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Corresponding author

Correspondence to Ken Hayashi.

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Conflicts of interest

K. Hayashi, None; M. Yoshida, None; S. Hayashi, None; A. Hirata, None.

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Corresponding Author: Ken Hayashi

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Hayashi, K., Yoshida, M., Hayashi, S. et al. Posterior vitreous detachment after cataract surgery in eyes with high myopia: an optical coherence tomography study. Jpn J Ophthalmol 66, 167–172 (2022). https://doi.org/10.1007/s10384-022-00903-6

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  • DOI: https://doi.org/10.1007/s10384-022-00903-6

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