[Refractive surgery of the lens in severe myopia].

PURPOSE

To evaluate the visual outcomes in high myopic eyes undergoing clear lens extraction with intra ocular implant.

MATERIAL AND METHODS

33 high myopic eyes (range: -10 to -25 D) underwent clear corneal lens extraction and implantation of posterior chamber intraocular lens.

RESULTS

84,84 % myopic eyes had postoperative corrected visual acuity > 0,3. In 1 case we had a posterior capsular rupture during the insertion of IOL, requiring a sulcus fixation of the IOL. In 3 eyes we had opacification of the posterior capsule.

CONCLUSIONS

1. Clear lens extraction with PC-IOL performed in high myopic eye at adults older than 45 years is a safe and effective refractive procedure. 2. Preoperative patient education and counseling regarding visual is critical in maximizing patient satisfaction. 3. The functional results depend on the chorioretinal myopic lesions.