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Clear lens phacoemulsification for correction of high myopia
V Pucci1, S Morselli, F Romanelli
1Department of Neurologic Science and Vision, Eye Clinic of Verona University, Verona, Italy. vincenzo.pucci@tiscalinet.it
Journal of Cataract and Refractive Surgery
|June 16, 2001
Summary
Phacoemulsification with intraocular lens (IOL) implantation effectively corrects high myopia. This safe procedure shows good predictability and a low complication rate, though careful retinal evaluation is advised.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- High myopia presents significant refractive challenges.
- Correction of high myopia often requires advanced surgical interventions.
Purpose of the Study:
- To evaluate phacoemulsification and posterior chamber intraocular lens (IOL) implantation for high myopia correction.
- To assess the safety, effectiveness, and predictability of this surgical technique.
Main Methods:
- A cohort of 25 eyes with myopia exceeding -12.0 diopters underwent clear lens extraction with phacoemulsification and IOL implantation.
- The mean follow-up period was approximately 43 months.
- The surgical procedure involved implantation in the capsular bag.
Main Results:
- No intraoperative complications were reported.
- All patients experienced improved uncorrected visual acuity.
- Best corrected visual acuity improved by an average of one line.
- A 4% incidence of retinal detachment and a 4% incidence of biometric error (3.0 D) were observed postoperatively.
Conclusions:
- Clear lens extraction with phacoemulsification and IOL implantation is an effective treatment for high myopia.
- The procedure demonstrates acceptable predictability and a low complication rate.
- Routine indirect ophthalmoscopy is recommended to screen for retinal issues and prevent postoperative retinal detachment.