First results of cataract surgery and implantation of negative power intraocular lenses in highly myopic eyes

J Cataract Refract Surg. 1996 May;22(4):416-20. doi: 10.1016/s0886-3350(96)80035-6.


Objectives: To determine whether cataract surgery in highly myopic eyes should be considered high-risk surgery and whether exact intraocular lenses (IOLs) should be implanted if negative power is required. SITE: Klinik Dardenne, Bonn-Bad Godesberg, Germany.

Method: We retrospectively studied 32 eyes of 27 highly myopic patients who had cataract surgery and posterior chamber IOL implantation. Intraocular lens power varied from -1.0 to -8.0 diopters (D), and eye length varied from 31.0 mm to more than 35.0 mm. Follow-up ranged from 6 to 36 months. Patients were analyzed for postoperative visual acuity and for intraoperative and postoperative complications.

Results: No patients experienced intraoperative complications. Posterior capsule opacification, which occurred in 14 eyes, was the only postoperative complication in the anterior or posterior segments. Ninety-four percent of eyes achieved improved best corrected visual acuity, and 69% of eyes were within 1.0 D of the refractive target.

Conclusions: Cataract surgery can be performed in highly myopic eyes without intraoperative complications. A posterior chamber IOL should be implanted for postoperative refraction and intraocular stability, even if negative lens power is required.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Follow-Up Studies
  • Humans
  • Lenses, Intraocular*
  • Male
  • Middle Aged
  • Myopia / complications
  • Myopia / surgery*
  • Optics and Photonics
  • Phacoemulsification / methods*
  • Postoperative Complications
  • Retrospective Studies
  • Treatment Outcome
  • Visual Acuity