Retinal detachment in phakic patients

Purpose this review aims to summarize risk factors, preoperative evaluation and principles of operative methods of retinal detachment of phakic eyes Methods Preoperative evaluation includes detailed examination of the retina, the identification of retinal breaks and classification of proliferative retinopathy. Main operative methods will be presented with ab externo or ab interno techniques. Results after a detailed characterization of the retinal detachment, the more appropriate surgical methods will be explained for the search, the treatment (laser or cryotherapy), closure (scleral buckling materials) of retinal breaks, management of subretinal fluid (drainage) and the choice of the intraocular tamponnade (gas or silicone). Conclusion this review will discuss the main advantages of each surgical technique and examples of management will be presented (simple phakic detachment, associated cataract, giant tears, high myopia).