[Method of lensectomy in high myopia]

The authors suggest a method of removing a transparent lens in high myopia patients aged over 40 with a dense lens nucleus. The method consists of 3 stages. Stage I consists in preliminary intracapsular YAG laser fragmentation of lenticular fibrils, performed 2-4 days before surgery. Stage II consists in YAG laser anterior capsulotomy directly before lens extraction. Stage III consists in lenticular mass aspiration irrigation via 2 small incisions on the cornea. The described lensectomy method was used in 23 patients (44 eyes) aged 40 to 55 with refraction of 16.0 to 23.0 diopters. The time of lenticular mass aspiration was cut down by half as against that after lensectomy without preliminary intracapsular YAG laser fragmentation of lenticular fibrils. No complications during or after surgery were recorded. After surgery vision acuity improved by 13 times without correction and two times with correction.