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Clear lens extraction to correct high myopia

O Gris1, J L Güell, F Manero

  • 1Instituto de Microcirugia Ocular de Barcelona, Spain.

Journal of Cataract and Refractive Surgery
|July 1, 1996
PubMed
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Clear lens extraction is a viable refractive surgery for high myopia, offering predictable and stable outcomes with low complications. This study found significant visual acuity improvement and refractive stability post-procedure.

Area of Science:

  • Ophthalmology
  • Refractive Surgery
  • Corneal Surgery

Background:

  • High myopia presents significant visual challenges.
  • Refractive surgery aims to correct refractive errors.
  • Clear lens extraction is a surgical option for myopia correction.

Purpose of the Study:

  • To evaluate refractive outcomes of clear lens extraction for high myopia.
  • To assess postoperative complications in a single-surgeon series.

Main Methods:

  • Retrospective analysis of 46 clear lens extraction procedures in 37 patients.
  • Evaluation of capsule tear, vitreous loss, endothelial cell loss, visual acuity, cycloplegic refraction, and retinal detachment.

Main Results:

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  • One case (2.17%) of capsule tear with vitreous loss.
  • Mean endothelial cell loss of 2.6% in the first year.
  • Improved best corrected visual acuity (88.5% postoperatively).
  • High refractive predictability: 92.5% within 2.00 D postoperatively.

    • Conclusions:

    • Clear lens extraction demonstrates high predictability and stability.
    • The procedure has low morbidity, making it a reasonable option.
    • Suitable for middle-aged patients with high myopia.