[Refractive lensectomy with intraocular lens implantation in hypermetropia gravis].

The objective of the study was to evaluate the results of refractive lensectomy with implantation of an IOL in patients with hypermetropia gravis. The authors included in the group patients operated at the Ophthalmological Clinic in Hradec Králové between May 1995 and April 1997 with a refraction of +7.2 +/- 1.76 D and axial length of 19.91 +/- 1.23 mm. The mean value of IOL was 32 +/- 1.8 (+30.0 to +35.0 D). The group comprised 124 men and 23 women (range 21-67 years, mean age 45.8 +/- 10.5 years). From the total number of 94 eyes 22 were operated, while the patients were hospitalized, 72 were operated at the out-patient department. Visus of 6/12 and better with supplementary correction was achieved in 73 eyes, i.e. 77% during the last check up. Before operation thist was the case in 70 eyes, i.e. 75.3%. The mean refraction after operations was -0.25 +/- 1.05 D. Lensectomy in hypermetropia gravis with implantation of an intraocular lens is according to the achieved functional results a fully justified method for resolving the problem of severe far-sightedness.