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Updated: Jul 11, 2026

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Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
Visual outcome after cataract surgery in extremely high axial myopia
Chia-Yun Li1, Yi-Cheng Chen, Lai-Chu See
1Department of Ophthalmology, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Summary
Cataract surgery with zero or negative-power intraocular lenses (IOL) offers good visual outcomes for extremely high axial myopes. Preoperative visual acuity, gender, and age influenced results, not surgical method.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Surgical Outcomes
Background:
- Extremely high axial myopia presents unique challenges for vision correction.
- Cataract surgery in these patients requires specialized intraocular lens (IOL) considerations.
Purpose of the Study:
- To evaluate the visual outcomes of cataract surgery using zero or negative-power IOLs in eyes with extreme axial myopia.
- To identify factors influencing visual results after such procedures.
Main Methods:
- Retrospective investigation of 110 eyes with extremely high axial myopia.
- Analysis of visual outcomes following cataract surgery with specific IOL power implantation.
Main Results:
- Cataract surgery with zero or negative-power IOLs yielded favorable visual outcomes with minimal complications.
- Preoperative best-corrected visual acuity, patient gender, and age were significant factors.
- The surgical method employed did not demonstrate an impact on the final visual outcome.
Conclusions:
- Zero or negative-power IOL implantation is a viable and safe option for cataract surgery in extremely myopic eyes.
- Patient-specific factors are crucial in predicting visual outcomes, underscoring the need for personalized treatment approaches.
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