TJ-CEO
2009 , Vol 4 , Num 3
The Outcomes of Phacoemulsification Surgery in Highly Myopic Eyes with Cataract
1Vakıf Gureba Eğitim ve Araştırma Hastanesi, Göz, İstanbul, Asist. Dr.2Vakıf Gureba Eğitim ve Araştırma Hastanesi, Göz, İstanbul, Uz. Dr.
3Vakıf Gureba Eğitim ve Araştırma Hastanesi, Göz, İstanbul, Doç. Dr. Purpose: To assess the functional results and complications after phacoemulsification surgery in highly myopic eyes with cataracts.
Materials and Methods: This retrospective study comprised 68 eyes of 45 patients with an axial length longer than 26 mm that had undergone cataract extraction and intraocular lens (IOL) implantation. IOL power was calculated using the SRK-T formula. The cataract surgery consisted of temporal clear corneal incision, phacoemulsification, and 3-piece hydrophobic IOL implantation (AMO, Sensar). The mean follow-up period was 12.13±1.3 months (range 10- 14 months).
Results: The mean age of patients was 63±0.9 years (range 54-75 years).The preoperative and final postoperative best corrected visual acuities (BCVAs) on the decimal scale were 0.14±0.11 (range 0.01-0.4) and 0.45±0.25 (range 0.02-1.0), respectively. No intraoperative complication was encountered. Rhegmatogenous retinal detachment in one eye (1.47%) was the only complication that occurred in the postoperative follow-up period. None of the eyes developed posterior capsule opacification necessitating YAGlaser capsulotomy. In 86.7% of the eyes the spherical equivalent of postoperative refraction was within ±1 diopter of the targeted refraction. Significant BCVA improvement was achieved in 55 of the 68 eyes (80.9%) (p<0.0001).
Conclusion: Phacoemulsification surgery with IOL implantation in highly myopic eyes with cataracts is a relatively safe method with a high improvement rate in BCVA and a low complication rate. Keywords : Phacoemulsification, cataract, high myopia