The Surgical Outcome of Clear Lens Extraction for Correction of High Myopia.
- Author:
Jong II PARK
1
;
In Chul PARK
;
Kyung Hun LEE
Author Information
1. St.Mary` s Eye Hospital, Pusan, Korea.
- Publication Type:Original Article
- Keywords:
Clear lens extraction;
Prophylactic laser treatment;
Visual outcome
- MeSH:
Argon;
Follow-Up Studies;
Humans;
Lasers, Solid-State;
Macular Edema;
Myopia*;
Posterior Capsulotomy;
Refractive Errors;
Retinal Detachment;
Retinal Perforations;
Retinaldehyde;
Retrospective Studies;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
1998;39(5):925-929
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In order to investigate the clinical results of clear lens extraction for high myopia, the effects of 5.5mm sutureless corneoscleral procedure with low power IOL insertion on 21 patients (31 eyes) who were followed up averagely for 9.43 months were analyzed retrospectively. Prophylactic retinal treatment with argon laser was performed in 23 eyes to prevent retinal detachment. Eighty-seven percent (25/31 eyes) of eyes were within +/-1D of targeted refractive error and all eyes were within +/-2D of targeted refractive error. The postoperative corrected visual acuities were increased in 96.8% (30/31 eyes) and 80.7% (25/31 eyes) among them gained two or more lines. the corrected visual acuity of 20/40 or better were increased from 35.5%(11/31 eyes) preoperatively to 93.6% (29/31 eyes) postoperatively. Posterior capsular opacification was developed in two eyes and YAG laser posterior capsulotomy was performed at 2 and 7 months postoperatively. No retinal break, no cystoid macular edema were developed during the follow up period. In conclusion, the clear lens extraction was effective method for correction of severe high myopia but longer follow-up is needed to evaluate it`s complications.
