Pseudophakic Rhegmatogenous Retinal Detachment:  A Case Series at Sultan Ahmad Shah Medical Centre,  Kuantan

Nur Izzah Husna Saaid Zaidun; Nor Atikah  Saini; Mohd-Fadzil  Abu-Bakar; Abdul-Hadi  Rosli; Khairidzan Mohd  Kamal; Mohammad  Hudzaifah-Nordin

Authors

Nur Izzah Husna Saaid Zaidun -
Nor Atikah Saini Department of Ophthalmology and Visual Science, School of Medical Sciences, Health Campus, University Sains Malaysia
Mohd-Fadzil Abu-Bakar Department of Ophthalmology, Sultan Ahmad Shah Medical Centre, Pahang
Abdul-Hadi Rosli Department of Ophthalmology, Kuliyyah of Medicine, International Islamic University Malaysia
Khairidzan Mohd Kamal Department of Ophthalmology, Kuliyyah of Medicine, International Islamic University Malaysia
Mohammad Hudzaifah-Nordin Department of Ophthalmology, Universiti Sultan Zainal Abidin, Kuala Nerus, Terengganu

Abstract

Purpose: Pseudophakic rhegmatogenous retinal detachment (PRRD) is a sight-threatening condition and one of the most common emergency complications following cataract surgery, requiring prompt surgical intervention. This study aimed to describe the clinical and demographic characteristics of patients with PRRD who presented to the Ophthalmology Clinic at Sultan Ahmad Shah Medical Centre (SASMEC), Kuantan, Malaysia.

Materials and Methods: A retrospective case series was conducted at SASMEC. Electronic medical records from
October 2022 to January 2025 were reviewed to identify patients diagnosed with PRRD. Demographic data, systemic
and ocular comorbidities, presenting symptoms, axial length (AXL), management, and visual outcomes up to 12 months post-treatment were analysed.
Results: Five eyes from five male patients with a mean age of 61.4 years were included in the study.All cases involved macular detachment, with 80% affecting the right eye. Floaters were the most common presenting symptom (80%). All patients had systemic comorbidities, particularly diabetes mellitus, hypertension, and hyperlipidaemia. The mean AXL was 25.3 mm, with most patients demonstrating a long axial length (≥ 25 mm), a known risk factor for PRRD. Four patients underwent pars plana vitrectomy with internal tamponade, and all achieved improvement of at least two Snellen lines at 12 months postoperatively. One patient declined surgery and showed no visual improvement, maintaining poor vision. Only one postoperative complication was reported, which resolved following appropriate management.

Conclusions: PRRD is an uncommon but vision-threatening complication following cataract surgery. In this series,
long axial length, male sex, and systemic comorbidities appeared to be associated risk factors. Prompt diagnosis and
early surgical intervention were associated with better visual outcomes. Strengthening postoperative surveillance and patient education may help reduce PRRD-related visual loss in Malaysia.

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