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Purpose: To provide a detailed analysis of risk factors for pseudophakic retinal detachments (PRD) and pseudophakic retinal breaks (PRB). Materials and methods: We reviewed the medical records of cataract surgeries between 1996 and 2017 at a tertiary care hospital in Austria. A Cox proportional‐hazard regression model was used to analyse risk factors for PRD and PRB. Results: Sixty‐five thousand six hundred and sixty‐two eyes (45 043 patients) underwent phacoemulsification, and 393 eyes (cumulative incidence 0.6%) were diagnosed with PRD (327 eyes) or PRB (66 eyes) during the follow‐up (median 7.1 years, range 0–21). Calculation of adjusted hazard ratios (HR) revealed a hierarchy of risk factors for either event including (from the highest to the lowest risk) posterior capsular rupture (PCR), patient age <65 years (compared with the age group >75 years), male gender and high myopia. Diabetes mellitus was associated with a lower risk. PCR was the strongest risk factor for PRD both in patients with and without perioperative vitrectomy (i.e. vitreous loss), but time to PRD was significantly reduced only following PCR with vitrectomy. Conclusions: Posterior capsular rupture, young patient age, male gender and high myopia were risk factors for PRD, but diabetes mellitus was associated with a lower risk. PCR had the strongest association with PRD, regardless of the need for perioperative vitrectomy due to vitreous loss. Time to PRD was reduced in patients with PCR and vitrectomy compared with PCR without the need for vitrectomy or uneventful surgery. [ABSTRACT FROM AUTHOR]

We compared postoperative optical coherence tomography (OCT, Heidelberg Spectralis, Heidelberg Engineering and Heidelberg, Germany) patterns of 20 ILM-non-peeled- and 22 ILM-peeled idiopathic ERM patients in a prospective series. Epiretinal membrane (ERM) surgery without peeling of the internal limiting membrane (ILM) is not possible in all patients due to strong ERM/ILM adherence. We hypothesize that the tractional stress exerted on the ILM during ILM/ERM separation could mechanically imprint the rough/irregular outer retinal ILM surface on the vitreal ILM side as well, especially in eyes with strong ILM/ERM adherence. [Extracted from the article]