Retinal detachment after clear lens extraction for high myopia: Seven-year follow-up
Section snippets
Methods
From January 1990 through June 1991, 52 eyes of 30 patients were entered into the study. The detailed study design, patient selection methods, surgical procedure, and 2- and 4-year results have been published.2, 3 A brief review of the methods follows.
We selected patients based on preoperative myopia of greater than −12 diopters (D), best-corrected visual acuity (BCVA) of 20/100 or better, and intolerance of contact lenses. We obtained informed consent from all patients before surgery. Patients
Results
Forty-nine eyes (28 patients) were available for the 7-year evaluation. Two patients were lost to follow-up.
Discussion
A century ago, Fukala7, 8 began treating high myopia by removing the clear lens, and although the refractive results were acceptable, severe perioperative and postoperative complications were common. The beginning of the modern era of lens implant surgery for myopia, by Barraquer, 9 was also marked by frequent inflammatory and corneal complications.
Today, thanks to phacoemulsification, small incision surgery, posterior chamber IOLs, and viscoelastics, CLE is being considered more and more for
References (20)
- et al.
Clear lensectomy and intraocular lens implantation in normally sighted highly hyperopic eyes. Three-year follow-up
Eur J Implant Refract Surg
(1995) - et al.
Clear lensectomy and implantation of low-power posterior chamber intraocular lens for the correction of high myopia
Ophthalmology
(1994) - et al.
Clear lensectomy and implantation of a low-power posterior chamber intraocular lens for correction of high myopia. A four-year follow-up
Ophthalmology
(1997) - et al.
Clear lensectomy and implantation of IOL for high myopia
Ophthalmology
(1998) - et al.
Intraocular lens changes after short- and long-term exposure to intraocular silicone oil. An in vivo study
Ophthalmology
(1998) - et al.
Long-term results of clear lens extraction for severe myopia
J Cataract Refract Surg
(1996) - et al.
Clear lens extraction and implantation of negative-power posterior chamber intraocular lenses to correct extreme myopia
J Cataract Refract Surg
(1998) - et al.
Clear lens extraction for the correction of high refractive error
J Cataract Refract Surg
(1994) - et al.
Clear lens extraction to correct high myopia
J Cataract Refract Surg
(1996) Clear lens extraction for axial myopia. An appraisal
Ophthalmology
(1987)
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