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Updated: Aug 18, 2026

Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
[Phacoemulsification and the negative power of intraocluar lenses in extremely myopic eyes]
Ying-hong Ji1, Yi Lu, Guo-sheng Lu
1Eye & ENT Hospital of Fudan University, Shanghai 200031, China.
Objective:
To evaluate the clinical effects of phacoemulsification and the negative power of intraocluar lens implantation in patients with extreme myopia and cataract.
Methods:
89 patients (126 eyes) received phacoemulsification and a negative power intraocluar lens implantation. Preoperative axial length, postoperative visual acuity and refractive error were recorded. Intraoperative and postoperative complications were observed. The follow-up time is from 6 to 25 months.
Results:
The mean preoperative axial length is 32.45 mm. Best corrected visual acuity achieved 0.2 or better in 106 eyes (84.1%) and 0.5 or better in 69 eyes (54.8%). Of the 126 eyes, 56.3% were within 1.00 diopter (D) of refractive error and 90.5% were within an error of 2.00 D. Only 1 eye has posterior capsule rupture. 28 eyes had binocular disturbances. 15 eyes developed posterior capsule opacification and 6 eyes were performed neodymium: YAG laser posterior capsulotomy. No retinal or choroidal detachment or pressure improvement was seen during the follow-up.
Conclusion:
It is safe and effective for extreme myopia with cataract to implant a negative power intraocular lens after phacoemulsification.
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