[Phacoemulsification for visual refraction on the clear lens. Apropos of 33 severely myopic eyes].
OBJECTIVE
To evaluate visual benefit, predictability and complications after clear lens phakoemulsification and posterior chamber implantation in highly myopic eyes.


METHODS
Thirty-three highly myopic eyes were reviewed at a mean postoperative follow-up of 27 months. The mean age of the 19 patients was 31.04 +/- 5.51 years. The mean preoperative spherical equivalent was -19.50 +/- 7.0 D (-12 to -40 D). Preoperative best spectacle corrected visual acuity was compared with the last postoperative one. Postoperative spherical equivalent was compared with the desired value. All complications were reviewed.


RESULTS
A mean visual benefit of 0.24 +/- 0.18 (decimal notation) was noted (p < 0.05). The mean postoperative spherical equivalent (-2.57 +/- 1.84 D) was not significantly different from the mean previous value (p = 0.75). Retinal detachment arose in the two eyes of the same patient (incidence of 6.1%). BSCVA decreased slightly in only one of the two eyes (0.1). The incidence of Nd-YAG capsulotomy was 30%.


CONCLUSIONS
Clear lens phakoemulsification is an effective and predictable method for the correction of high myopia. Retinal detachment is the major complication of this technique, even if a severe decrease of the visual acuity is not usual.
Chastang
P
P
Centre National d'Ophtalmologie des Quinze-Vingt, Paris.
Ruellan
Y M
YM
Rozenbaum
J P
JP
Besson
D
D
Hamard
H
H
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007910:Lenses, Intraocular; D008297:Male; D009216:Myopia / Q000601:surgery*; D018918:Phacoemulsification; D011183:Postoperative Complications / Q000209:etiology; D012029:Refraction, Ocular; D012163:Retinal Detachment / Q000209:etiology; D016896:Treatment Outcome
Phakoémulsification à visée réfractive sur cristallin clair. A propos de 33 yeux myopes forts.