title: Phacoemulsificatıon in eyes wıth cataract and high myopia.
abstract: OBJECTIVE
  To evaluate the outcomes and complications following phacoemulsification surgery in eyes with cataract and high myopia.
  
  
  METHODS
  We retrospectively evaluated the data of 43 eyes of 28 consecutive patients (12 males, 16 females) with cataract and high myopia who had undergone phacoemulsification and intraocular lens (IOL) implantation. The mean [± standard deviation (range)] age of the patients was 59.20 ± 11.08 (39-77) years.
  
  
  RESULTS
  The frequency of nuclear cataract was significantly higher than that of other cataract types (P=0.003). The mean axial length was 28.97 ± 1.99 (26-33) mm and the mean IOL power was 5.09 ± 4.78 (-3.0 to +14.0) diopters (D). The mean preoperative spherical equivalent (SE) was -16.48 ± 5.23 (-8.00 to -25.00) D and the mean postoperative SE was -1.46 ± 0.93 (0.00 to -3.00) D (P=0.00). The mean preoperative best-corrected visual acuity (BCVA) was 0.91 ± 0.37 (0.30 to -1.50) logMAR and the mean postoperative BCVA was 0.29 ± 0.25 (0.00-1.00) logMAR (P=0.00). Twenty-two eyes (51.2%) achieved the target postoperative refraction (±1.0 D). The eyes were divided into 3 groups according to the axial length. The mean biometric error was significantly higher in the group with the greatest axial length than in the other groups (P=0.007). Preoperative argon laser photocoagulation was performed in 7 eyes (16%) on account of retinal tears, retinal holes, or lattice degeneration. Postoperatively, retinal tears developed in 2 eyes (4%) and were treated with photocoagulation. One eye (2%) developed retinal detachment postoperatively, with the patient consequently referred for retinal surgery. Postoperatively, posterior capsule opacities developed in 11 eyes (25%), with all cases treated by laser capsulotomy.
  
  
  CONCLUSIONS
  Good postoperative outcomes following phacoemulsification surgery were observed in patients with cataract and high myopia. However, clinicians should be aware of the risk of postoperative retinal tears and rhegmatogenous retinal detachment. Preoperative prophylactic argon laser photocoagulation treatment should be considered where necessary.
authors.affiliation: Ophthalmology Clinics, Turkish Red Crescent Hospital, Konya, TR.
authors.forename: Servet
authors.initials: S
authors.lastname: Cetinkaya
authors.affiliation: Department of Ophthalmology, Faculty of Medicine, Mevlana University, Konya, TR.
authors.forename: Nursen Oncel
authors.initials: NO
authors.lastname: Acir
authors.affiliation: Ophthalmology Clinics, Ataturk Training and Research Hospital, Ankara, TR.
authors.forename: Yasemin Fatma
authors.initials: YF
authors.lastname: Cetinkaya
authors.affiliation: Department of Ophthalmology, Faculty of Medicine, Mevlana University, Konya, TR.
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Dadaci
authors.affiliation: Konya Eye Centre Hospital, Konya, TR.
authors.forename: Halil İbrahim
authors.initials: Hİ
authors.lastname: Yener
authors.affiliation: Department of Ophthalmology, Meram Training and Research Hospital, Konya, TR.
authors.forename: Faik
authors.initials: F
authors.lastname: Saglam
mesh_terms: D000328:Adult; D000368:Aged; D058452:Axial Length, Eye / Q000503:physiopathology; D005260:Female; D006801:Humans; D017075:Laser Coagulation / Q000379:methods; D054020:Lasers, Gas / Q000627:therapeutic use; D019654:Lens Implantation, Intraocular / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D018918:Phacoemulsification / Q000009:adverse effects* / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control; D011184:Postoperative Period; D057234:Preoperative Period; D065286:Prophylactic Surgical Procedures / Q000379:methods; D012163:Retinal Detachment / Q000209:etiology / Q000517:prevention & control; D012167:Retinal Perforations / Q000209:etiology / Q000517:prevention & control; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D016896:Treatment Outcome; D014792:Visual Acuity