Clear lens phacoemulsification for correction of high myopia

J Cataract Refract Surg. 2001 Jun;27(6):896-900. doi: 10.1016/s0886-3350(01)00858-6.


Purpose: To assess phacoemulsification and posterior chamber intraocular lens (IOL) implantation as an effective, safe, and predictable technique for the correction of high myopia.

Setting: University Eye Clinic of Verona, Verona, Italy.

Methods: A series of 25 eyes with myopia higher than -12.0 diopters (D) had clear lens extraction by phacoemulsification and IOL implantation in the capsular bag. The mean postoperative follow-up was 42.92 months +/- 3.76 (SD).

Results: No serious intraoperative complications occurred. Uncorrected visual acuity improved in all cases. The mean postoperative best corrected visual acuity improved by an average of 1 line. One case (4.0%) of postoperative retinal detachment (RD) occurred at 12 months. One case (4.0%) of biometric error (3.0 D) occurred.

Conclusion: Clear lens extraction by phacoemulsification and IOL implantation in a series of highly myopic eyes was effective and had an acceptable predictability and a low rate of complications. Careful evaluation of the retinal periphery by indirect ophthalmoscopy is recommended to avoid postoperative RD.

MeSH terms

  • Adult
  • Female
  • Follow-Up Studies
  • Humans
  • Lens Implantation, Intraocular
  • Lens, Crystalline / surgery*
  • Male
  • Middle Aged
  • Myopia / surgery*
  • Phacoemulsification*
  • Retrospective Studies
  • Treatment Outcome
  • Visual Acuity