[Clear lens extraction in high myopia]

To evaluate effectiveness and safety of clear lens extraction in high myopia.

39 eyes of 26 patients had clear lens extraction and implantation of PC IOL. The mean preoperative spherical equivalent was -17.0 D sph, mean follow-up was 19.4 months. IOL calculations were performed using SRK II formula for target refraction -2.0 or -3.0 D sph.

The mean postoperative spherical equivalent was -3.3 D sph. The best corrected visual acuity improved in 84.6% of eyes. The percentage of eyes achieving BCVA 0.5 or better increased from 23% preoperatively to 59% postoperatively. In 7 eyes (18%) posterior capsule opacification occurred. Two years after the surgery in one eye retinal detachment appeared, which was successfully treated.

Clear lens extraction with PC IOL implantation in high myopia gives good results with low number of complications.