[The surgery of cataract in the myopic eye]

The degenerative lesions from forte myopia concern all eyeball structures. On its turn, the cataract of the myopic eye, presents in this context specific features which impose some particularities of the surgical act. Within the framework of the preoperative balance sheet, many aspects are discussed: morphopathological specific features of the crystalline lens, the myopic eye glaucoma, the state of the vitreous body, cornea and peripheral fundus oculi, calculus of the implant, choice of the anesthesia. Regarding like surgical technique it is recommended the extracapsular crystalline lens extraction, practiced with sclerocorneal tunneling and phacoemulsification, this technique ensuring a pressuring regime and constant volume at the level of the anterior segment. The postoperative complications and their therapeutical conduct are also discussed: the retinal detachment, the glaucoma the macular cystoid edema, secondary cataract.