[The management of posterior capsular in cataract operations of high myopia].
OBJECTIVE
To study the management of posterior capsular in cataract operation of high myopia in order to avoid posterior capsular opacity(PCO).


METHODS
Twenty-two cases(30 eyes) of high myopia with an average axial length of 31.62 mm were analyzed. Cataract phacoemulsification were performed in all cases, among which 12 eyes were operated with continuous curvilinear capsulorhexis (group I) of posteror capsular and 18 eyes were operated with capsulorectomy combined with anterior segment vitrectomy (group II). No artificial lenses were implanted in all cases.


RESULTS
The post-operative naked vision were improved in both groups. Group I: The VA > or = 0.1 in all 12 eyes(100%), > or = 0.3 in seven eyes (58.3%) and no complication happened. Group II: The VA > or = 0.1 in 16 eyes(88.9%), > or = 0.3 in nine eyes (50%), and one eye with hemmorhage choroid detachment in the operation and three eyes with retina tear after the operation.


CONCLUSIONS
Continuous curvilinear capsulorhexis of posteror capsular in treating PCO of high myopia with cataract is a safe effective and economic way compared with capsulorectomy combined with anterior segment vitrectomy.
Bao
Y
Y
Department of Ophthalmology, People's Hospital of Beijing University, Beijing 100044, China.
Li
M
M
Liang
Y
Y
Li
X
X
D000328:Adult; D000368:Aged; D002386:Cataract / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000150:complications*; D018918:Phacoemulsification; D011183:Postoperative Complications / Q000517:prevention & control; D014792:Visual Acuity; D014821:Vitrectomy