Clear Lens Extraction for Correction of High Myopia

Purpose: To study clear lens extraction and posterior chamber in-traocular lens implantation outcomes and safety in correction of high myopia. Patients and Methods: Medical records of 29 patients (40 eyes) who underwent clear lens extraction with posterior chamber IOL implantation to treat high myopia (Axial length > 26.6) were retrospectively reviewed. Visual acuity and refractive error were assessed before and after surgery, and preoperative, intraoperative, and postoperative complications were also recorded. Results: The mean postoperative follow-up period was 10.9 ± 4.63 months (Range, 6 - 19 months). The mean final best correct-ed visual acuity of 6/10 ± 2/10, was better than preoperative best corrected visual acuity (Mean: 2/10 ± 1/10). Final spheri-cal equivalent (SE), (Mean = - 0.95 ± 0.45 diopters, Range - 0.25 to - 2 D) was better than preoperative SE (Mean = 19.41 D ± 5.31, Range 9 to 31 diopters). No cases of intra-operative complications occurred. The only postoperative complication was posterior capsule opacification in one eye 18 months after surgery and biometric error of (2 D) occurred in one eye. Conclusion: Clear lens extraction with posterior chamber IOL implantation in high myopic eyes has good outcomes with acceptable predictability, improvement in best corrected visual acuity and low rate of complications.