ABSTRACT
Cataract surgery has evolved rapidly in the last 40 years with progression from intracapsular surgery and aphakia, to extracapsular surgery, to phacoemulsification and pseudophakia post-operatively. This has led to a reduction in complications and an improvement in the standard of surgery and post-operative outcome for cataract surgery worldwide. Retinal dialysis is a dehiscence of the anterior retina at the ora serrata. The presence of a full vitreous means that the rhegmatogenous retinal detachments (RRDs) progresses very slowly and often presents by coincidental observation or when the macula finally detaches. A separation of the vitreous base from the retina is sometimes seen as a 'bucket handle' in the inner surface of the dialysis especially in traumatic cases. Blunt trauma has been associated with dialysis. A giant retinal tear (GRT) is defined as a tear of more than 3 clock hours of the retina with posterior vitreous detachment. Retinal detachments are related to posterior paravascular vitreoretinal adhesions or to radially orientated post-equatorial lattice degeneration.
