title: Preferred postoperative refraction after cataract surgery for high myopia.
abstract: Eighty-four patients (121 eyes) with high myopia who had cataract surgery and intraocular lens implantation completed a survey on preferred postoperative refraction. Forty-two percent of the sample reported that they were accustomed to removing their glasses to read a newspaper or book. These respondents were fitted with soft contact lenses and their refraction changed to 0 D, -3.00 D, and -5.00 D. Of the patients whose best corrected postoperative visual acuity was 20/40 or better (n = 63), 48% preferred the -3.00 D correction; 38%, the 0 D correction; and 14%, -5.00 D. Of those with a best corrected postoperative visual acuity worse than 20/200 (n = 8), 80% preferred the -5.00 D refraction, which allowed them to read close up. Most patients with phakic eyes and good visual acuity (n = 13) preferred the 0 D and -3.00 D corrections. Our results indicate that in patients with high myopia, it is important to take patient preference into account when selecting postoperative refraction.
authors.affiliation: Department of Ophthalmology, Showa University Fujigaoka Hospital, Kanagawa, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Kora
authors.forename: S
authors.initials: S
authors.lastname: Yaguchi
authors.forename: M
authors.initials: M
authors.lastname: Inatomi
authors.forename: T
authors.initials: T
authors.lastname: Ozawa
mesh_terms: D002387:Cataract Extraction; D003263:Contact Lenses, Hydrophilic; D005139:Eyeglasses; D006801:Humans; D007910:Lenses, Intraocular; D009216:Myopia / Q000503:physiopathology / Q000601:surgery*; D017060:Patient Satisfaction; D011184:Postoperative Period; D012029:Refraction, Ocular; D011795:Surveys and Questionnaires; D014792:Visual Acuity