{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T21:01:51Z","timestamp":1792011711929,"version":"4.4.0"},"reference-count":35,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,1,10]],"date-time":"2021-01-10T00:00:00Z","timestamp":1610236800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the cumulative incidence and risk factors of pseudophakic retinal detachment (PRD) following phacoemulsification cataract surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cataract surgeries performed between the years 2007 and 2016 at the Ophthalmology Unit of Kymenlaakso Central Hospital, Kotka, Finland, were included. The cumulative incidence of PRD was estimated through\u00a0Kaplan\u2013Meier analysis. Patient mortality was incorporated as one of the censoring events. Cox regression analyses were used to evaluate potential risk factors, including age, gender, intraocular lens (IOL) power and previous neodymium\u2010doped yttrium aluminium garnet (Nd:YAG) laser capsulotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 17\u00a0688 eyes of 12\u00a0003 patients were included. The mean patient age at surgery was 75.2\u00a0\u00b1\u00a09.1\u00a0years with 63.5% females (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a011\u00a0228). During the mean follow\u2010up time of 4.3\u00a0\u00b1\u00a02.7\u00a0years, 83 laterality\u2010matched PRDs were registered (incidence 0.11% per year). Univariate analyses showed that age (HR 0.93; 95% CI 0.92\u20130.95), male gender (HR 3.99; 95% CI 2.52\u20136.33) and IOL power (HR 0.86; 95% CI 0.83\u20130.90) were significantly associated with PRD (p\u00a0&lt;\u00a00.001 for all) and remained significant in a multivariate analysis. Neither univariate (HR 1.45; 95% CI 0.82\u20132.54, p\u00a0=\u00a00.201) nor multivariate (HR 1.03; 95%CI 0.57\u20131.88, p\u00a0=\u00a00.919) analyses showed any association between Nd:YAG capsulotomy and PRD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Male gender, low IOL power and younger age were confirmed as risk factors for PRD after phacoemulsification surgery. Real\u2010world evidence suggests that Nd:YAG capsulotomy does not increase the risk for PRD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aos.14757","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T22:22:25Z","timestamp":1610662945000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Nd:YAG capsulotomy is not a risk factor for retinal detachment after phacoemulsification cataract surgery"],"prefix":"10.1111","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2706-6467","authenticated-orcid":false,"given":"Uri","family":"Elbaz","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Rabin Medical Center Schneider Children's Medical Center of Israel  Petah Tikva Israel"},{"name":"Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Hakkala","sequence":"additional","affiliation":[{"name":"Helsinki Retina Research Group University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5634-0432","authenticated-orcid":false,"given":"Idan","family":"Hecht","sequence":"additional","affiliation":[{"name":"Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"},{"name":"Helsinki Retina Research Group University of Helsinki  Helsinki Finland"},{"name":"Department of Ophthalmology Shamir Medical Center  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6315-6908","authenticated-orcid":false,"given":"Asaf","family":"Achiron","sequence":"additional","affiliation":[{"name":"Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"},{"name":"Cornea Unit Bristol Eye Hospital  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assaf","family":"Gershoni","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Rabin Medical Center Schneider Children's Medical Center of Israel  Petah Tikva Israel"},{"name":"Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1550-8125","authenticated-orcid":false,"given":"Raimo","family":"Tuuminen","sequence":"additional","affiliation":[{"name":"Helsinki Retina Research Group University of Helsinki  Helsinki Finland"},{"name":"Department of Ophthalmology Kymenlaakso Central Hospital  Kotka Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,10]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/2008-322X.156101"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2013.07.045"},{"key":"e_1_2_5_4_1","first-page":"550","article-title":"Frequency of retinal detachment and other complications after neodymium: Yag laser capsulotomy","volume":"58","author":"Burq MA","year":"2008","journal-title":"J Pak Med Assoc"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(98)96006-7"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2010.11.001"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archophthalmol.2012.164"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(85)33899-X"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2015.07.014"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2006.05.054"},{"key":"e_1_2_5_11_1","first-page":"339","article-title":"Does Nd:YAG capsulotomy increase the risk of retinal detachment?","volume":"7","author":"Grzybowski A","year":"2018","journal-title":"Asia Pac J Ophthalmol (Phila)"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(02)01347-8"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e32834cd653"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2008.273"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(02)01820-5"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(92)31775-0"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/9206418"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-019-04423-x"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0184187"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-012-2043-3"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.14380"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(13)80333-1"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(00)00304-7"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874364101206010079"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2015-307729"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006982-199212010-00003"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(13)80499-3"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-019-0575-z"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(98)91138-1"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2005.12.095"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(02)01837-0"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1726-4901(09)70168-6"},{"key":"e_1_2_5_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12009-007-0014-9"},{"key":"e_1_2_5_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(96)30465-X"},{"key":"e_1_2_5_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(13)80070-3"},{"key":"e_1_2_5_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2017.03.046"}],"container-title":["Acta Ophthalmologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.14757","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aos.14757","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.14757","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T15:54:25Z","timestamp":1693324465000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aos.14757"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,10]]},"references-count":35,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1111\/aos.14757"],"URL":"https:\/\/doi.org\/10.1111\/aos.14757","archive":["Portico"],"relation":{},"ISSN":["1755-375X","1755-3768"],"issn-type":[{"value":"1755-375X","type":"print"},{"value":"1755-3768","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,10]]},"assertion":[{"value":"2020-10-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-10","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}