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


METHODS
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.


CONCLUSIONS
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.
Pucci
V
V
Department of Neurologic Science and Vision, Eye Clinic of Verona University, Verona, Italy. vincenzo.pucci@tiscalinet.it
Morselli
S
S
Romanelli
F
F
Pignatto
S
S
Scandellari
F
F
Bellucci
R
R
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular; D007908:Lens, Crystalline / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D018918:Phacoemulsification; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity