Ferrara M, Mehta A, Qureshi H, et al. - In this retrospective comparative clinical study, researchers compared phakic and pseudophakic primary rhegmatogenous retinal detachments (RD) and, within phakic RD, eyes with and without cataract. The sample consisted of patients aged ≥ 50 years who had undergone RD repair. According to results, of 4,231 eyes, 1,332 were pseudophakic and 3,019 phakic, amongst which 310 had cataract. Compared with phakic RD, pseudophakic RD exhibited major differences, including older age, higher male gender prevalence, foveal detachment, grade C proliferative vitreoretinopathy, inferior retinal breaks, inferior retinal involvement and greater RD extent. The presenting features varied significantly between pseudophakic and phakic RD, with greater occurrence of inferior retinal breaks and particularly inferior retinal involvement. Several features in common with pseudophakic RD were shared by phakic RD with cataract.