[Outcome of cataract operation with reduction of myopia in myopia magna].

UNLABELLED: Patients with high myopia represent a risk group in cataract surgery. They are suspected of having a higher incidence of retina problems after cataract surgery. In addition, IOL calculations may be difficult.

METHOD: In a retrospective study data of 97 eyes of 60 high myopic patients were analyzed. The inclusion criterion was an axial length of > 26 mm. All eyes underwent cataract extraction and PC IOL implantation between 1991 and 1995. Evaluation focused on visual outcome, precision of the IOL power calculation and the rate of complications.

RESULTS

Visual acuity increased from 0.18 to 0.46 postoperatively. On average, myopia was reduced from -13.6 D to -3.0 D;66% of the patients were +/-1 D;86% were +/-2 D within the predicted calculation of postoperative refraction. During a follow-up period of 14.8 months no retinal detachment occurred.

CONCLUSION

Cataract extraction and IOL implantation showed good functional results, and prediction of postoperative refraction was satisfactory. Our data support the studies reporting a low incidence of retinal problems in patients with high myopia.