CORRECTION OF HIGH MYOPIA WITH THE WORST MYOPIA CLAW INTRAOCULAR-LENS

BACKGROUND: Phakic anterior chamber lenses is one of the modalities us ed to correct high myopia, We report the initial results of our prospe ctive study on the Worst myopia claw intraocular lens (IOL) that is fi xated to the anterior iris, METHODS: We studied 35 eyes in 18 patients with a preoperative myopia ranging from -6.00 to -28.00 diopters (D), The follow up ranged from 6 months (n = 15) to 12 months (n = 20), RE SULTS: In 26 (74.3%) eyes, the postoperative spherical equivalent refr active error was within 1.00 D of emmetropia. The mean refraction was stable between 1 to 2 months and 12 months, The mean spectacle-correct ed visual acuity improved from 20/50 to 20/40, The straylight measurem ents did not show a significant increase postoperatively (p = .64), Th e mean endothelial cell loss was 5.6% (range, +6.3% to -22.6%) at 6 mo nths, and 8.9% (range, +0.77% to -23.5%) at 12 months, We did not enco unter major complications, CONCLUSION Implanting a Worst myopia claw I OL in high myopic eyes resulted in a stable, reasonably accurate refra ctive outcome, This group of patients will be followed longer because of concern over ocular complications with this technique.