Abstract:

Purpose: To evaluate the results of uncomplicated phacoemulsification cataract surgery in patients with high myopia and cataract.Methods: In this study, 18 eyes of 14 patients with high myopia and cataract were included in the study. Phacoemulsification and intraocular lens implantation surgery was performed in all eyes. Patients were examined for postoperative best corrected visual acuity, posterior capsule opacification and retinal detachment.Results: The patients were 4 women (32.1%) and 10 men (68.9%). The mean age was 53,5±5,0 (4764), mean axial length was 28,28±1,39 mm (26,4-30,9), mean intraocular lens power was +6,72±3,15 dioptri (D) (+2, +12), mean preoperative best corrected visual acuity by logMAR was 1,2±0,1 (1,0-1,8), mean preoperative refraction was -14.73±4.18 (-7.0,-23.0), mean preoperative intraocular pressure was 14,8±1,5 mmHgApl (12-17). Mean follow up time was 14,67±2,0 months (12-18). The mean postoperative best corrected visual acuity by logMAR was 0,2±0,1 (0-0,7) and mean postoperative intraocular pressure was 14,7±2,1 mmHgApl (11-19), mean postoperative refraction was 0,31±0,77 (-1,3,+1.3). In the comparison of before and after surgery, significant improvement was determined in visual acuity (p=0,0001). In the comparison of before and after surgery, no significant improvement was determined in intraocular pressure (p=0,772). During follow up none of the patients developed retinal detachment. Posterior capsular opacity was detected in 2 (%11,1) eyes.Conclusion: As a result, careful preoperative examination of patients and with uncomplicated phacoemulsification cataract surgery in patients with high myopia, which can be quite good results.

Keywords: