Purpose To evaluate visual benefit, predictability and complications a
fter clear lens phakoemulsification and posterior chamber implantation
in highly myopic eyes. Methods Thirty-three highly myopic eyes were r
eviewed at a mean postoperative follow-up months. The mean age of the
19 patients was 31.04 +/- 5.51 years. The mean preoperative spherical
equivalent was - 19.50 +/- 7.0 D (- 12 to - 40 D). Preoperative best s
pectacle corrected visual acuity was compared with the last postoperat
ive one, Postoperative spherical equivalent was compared with the desi
red value. All complications were reviewed. Results A mean visual bene
fit of 0.24 +/- 0.18 (decimal notation) was noted (p < 0.05). The mean
postoperative spherical equivalent (- 2.57 +/- 1.84 D) Ir as not sign
ificantly different from the mean previous value (p = 0.75). Retinal d
etachment arose in the two eyes of the same patient (incidence of 6.1%
). BSCVA decreased slightly in only one of the two eyes (0.1). The inc
idence of ND-YAG capsulotomy was 30%. Conclusion Clear lens phakoemuls
ification is art effective and predictable method for the correction o
f high myopia. Retinal detachment is the major complication of this te
chnique, even if the visual acuity is not usual. acuity is not usual.