Intezar Hussain, Shahid Mehmood, Shabana Chaudhry.
Efficacy & Safety of Clear Lens Extraction With Intraocular Lens Implantation in High Myopia.
Ophthalmol Update Jan ;13(3):130-4.

Purpose of the Study: To evaluate the visual results and operative postoperative complications in high myopic patients who underwent clear lens extraction by Phacoemulsification with foldable intraocular lens implantation. Patients & Methods: We performed a retrospective, observational and descriptive study in 23 eyes of 12 patients between June 2006 and February 2014. We evaluated preoperative and postoperative best corrected visual acuity, operative, early and late postoperative complications. Apart from these, IOP, preoperative and postoperative refractive error, axial length and detailed fundus examination were also recorded. All the patients underwent Phacoemulsification with foldable IOL. The follow up range was 8 months to 8 years and 2 months with a mean of 4 years and 3 months. Results: There were 2 male and 10 female patients. Age range was from 18 years to 34 years with a mean of 24.9 years. Mean preoperative spherical equivalent was -12.83 diopter and postoperatively it was -0.369 diopter. Pre-operative best corrected visual acuity was 6/9 or better in 10 eyes and postoperatively it improved in 16 eyes to 6/9 or better. No intra operative complications occurred. Postoperatively 6 eyes had IOP more than 21 mmHg, 11 eyes had posterior capsule opacification and 9 eyes underwent YAG capsulotomy. There were no post-operative retinal detachment. Conclusion: The clear lens extraction in high myopia by phacoemulsification with foldable IOL implantation has good visual outcomes if alternative procedures are not feasible with no serious postoperative complications.

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