Outcome of Phacoemulsification With Intraocular Lens Implantation in Patients With High Myopia
Year: 2015
Type: article
Study design: Observational Study
Abstract: OBJECTIVE: To evaluate the visual and refractive outcomes of phacoemulsification with intraocular lens (IOL) implantation in highly myopic eyes and to assess the intraoperative and postoperative complications.SETTINGS: Tertiary care Centre Ranchi, India.METHODS: Consecutive patients with high myopia were retrospectively studied for outcomes and complications after phacoemulsification and IOL implantation. RESULTS:The study included 125 eyes of 89 patients (53 females and 36 males) with a mean age of 56.01±9.51years and mean follow-up of 19.45±4.07months.The mean axial length was 29.58±2.57mmand power of the IOL ranged from -4.00 D to + 17.00 D. The mean preoperative logMAR Best corrected visual acuity (BCVA) was 0.82±0.26which improved to 0.38±0.29 at one month and to 0.43±0.33 at last follow-up, the improvement in vision was statistically significant (P<0.0001,paired t test).Postoperatively, 80 eyes (64%) had a BCVA between 0.00 logMAR (20/20) and 0.30 logMAR (20/40).Pre-existing myopic chorioretinal degeneration (13.6%) was most common factor causing decreased visual acuity.The mean spherical equivalent at one month postoperative was -0.06±1.28D. The complications included posterior capsule rupture (5.6%), zonular dehiscence (1.6%), retinal detachment (1.6%), cystoid macular edema (8.8%) and posterior capsule opacifications (10.4%).CONCLUSIONS: Phacoemulsification with intraocular lens implantation is a safe and effective procedure to improve patients visual acuity in those with high myopia.
Authors: Sunil Kumar, Samrin Sarwar, Rajiv Kumar
Institution: Rajendra Institute of Medical Sciences
Language: English
Subfield: Ophthalmology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2605160246