The correction of phakia removal with phacoemulsification and intraocular lens implantation in high myopia

Objective:To discuss an effective surgical treatment for high myopia.Methods:Lenses of 30cases(40eyes) with high myopia were removed by phacoemlcification with the incision of 3.5mm and 5mm and were implanted by intraocular lens.Results:The average visual acuity of 40 eyes was 0.5±0.28 and the average corrected visual acuity was 0.75±0.30 four weeks after operation. The cornea astigmatisms post operative in 3.5mm incision group shows no statistical significance. 0.63D average astigmatism in 5 mm incision group was found. The average spherical equivalent diopter after operation was -1.34±0.54D. The main postoperative complication was the leakage of incision and cornea edema. No serious complication was found postoperatively in tow groups.Conclusion:Removal of lens by phaco and IOL simultaneous implantation in high myopia patient may decrease their degree of myopia with good prediction, better vision and no serious complication. It is an effective, safe surgery for high myopia.