Evidence map›Paper›PMID 41507998›Full record

ArticleInternational journal of retina and vitreous2026

Incidence and risk factors for retinal detachment after cataract surgery: a comparison between trainee and experienced surgeons.

Thiago Meister, Helena Gschwendtner, Eric Koji Azuma Watanabe, Amanda Granero de Castro, Ana Beatriz Ferreira do Amaral Antunes, Luís Expedito Sabage, Carlos Augusto Moreira-Neto

Abstract read
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Article in International journal of retina and vitreous, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Thiago MeisterHospital de Olhos do Paraná, Alameda Pres. Taunay, 483 - Batel, Curitiba, 80420-180, PR, Brazil. meisterthiago@hotmail.com.
Helena GschwendtnerHospital de Olhos do Paraná, Alameda Pres. Taunay, 483 - Batel, Curitiba, 80420-180, PR, Brazil.
Eric Koji Azuma WatanabeHospital de Olhos do Paraná, Alameda Pres. Taunay, 483 - Batel, Curitiba, 80420-180, PR, Brazil.
Amanda Granero de CastroHospital de Olhos do Paraná, Alameda Pres. Taunay, 483 - Batel, Curitiba, 80420-180, PR, Brazil.
Ana Beatriz Ferreira do Amaral AntunesHospital de Olhos do Paraná, Alameda Pres. Taunay, 483 - Batel, Curitiba, 80420-180, PR, Brazil.
Luís Expedito SabageHospital de Olhos do Paraná, Alameda Pres. Taunay, 483 - Batel, Curitiba, 80420-180, PR, Brazil.
Carlos Augusto Moreira-NetoHospital de Olhos do Paraná, Alameda Pres. Taunay, 483 - Batel, Curitiba, 80420-180, PR, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the incidence and independent risk factors for rhegmatogenous retinal detachment (RRD) following cataract surgery within a single institutional cohort, with a specific focus on surgeon experience (training vs. experienced surgeons), and to contextualize findings with large-scale population-based studies.

methodsRetrospective cohort study based on data from electronic medical records from 23,642 eyes that underwent phacoemulsification between 2018 and 2021 at a tertiary ophthalmology center, 13,294 of which were operated by training surgeons (TS) and 10,348 by experienced surgeons (ES). Postoperative outcomes were assessed within a fixed follow-up period of up to 12 months. Variables included surgeon experience, age, sex, high myopia (HM), and lattice degeneration (LD). Eyes with HM + LD were analyzed descriptively but excluded from multivariable modeling due to collinearity. Exclusion criteria: patients aged < 40 years, previous RRD, tractional or exudative retinal detachment, diabetic retinopathy, and intraoperative posterior capsule rupture. Firth’s penalized logistic regression was used to identify independent risk factors for RRD.

resultsAmong all included eyes, 16 (0.07%) developed RRD within one year after cataract surgery, including 14 (0.11%) among TS and 2 (0.02%) among ES. A significantly higher adjusted risk for TS (OR: 5.67; 95% CI: 2.49–12.92; p < 0.001). Adjusted analysis confirmed HM (OR 12.04; 95% CI 4.25–34.09; p < 0.001) and LD (OR 12.78; 95% CI: 3.58–45.65) as strong independent risk factors. Male sex showed a modest but statistically significant association with RRD (adjusted OR 1.92; 95% CI 1.03–3.57; p = 0.039). Age showed a heterogeneous association with RRD: compared with patients < 60 years, those aged ≥ 70 years had significantly lower adjusted odds, whereas no significant difference was observed for the 61–70-year group.

conclusionsSurgeon experience is an independent and clinically relevant determinant of RRD risk after cataract surgery, even in uneventful procedures. This study represents the first single-center analysis including more than 20,000 eyes to isolate the impact of surgical experience within a standardized institutional setting while controlling for key ocular and demographic factors. These findings highlight the importance of structured supervision and training strategies to mitigate postoperative retinal complications, particularly in high-risk eyes.

Indexed as

Cataract surgeryComplications riskHigh myopiaLattice degenerationLearning curveRhegmatogenous retinal detachmentSurgical experience

Identifiers

PMID41507998
PMCPMC12870959

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.