Clear lens extraction to correct high myopia

PURPOSE: To assess the refractive outcome and postoperative complications in a single surgeon series of clear lens extraction for high myopia. SETTING: Ophthalmology Department, Cornea and Refractive Surgery Unit, Vall d'Hebrón Hospital, Autónoma University of Barcelona, Spain. METHODS: Forty-six clear lens extraction procedures performed in 37 patients from November 1992 to January 1994 by one surgeon were retrospectively analyzed. Capsule tear and vitreous loss, endothelial cell loss, preoperative and postoperative best corrected visual acuity and cycloplegic refraction, and retinal detachment occurrence were looked at. RESULTS: Capsule tear with vitreous loss occurred in one eye (2.17%). Mean endothelial cell loss was 2.6% during the first postoperative year. Best corrected visual acuity was 6/12 or better in 69.4% of eyes preoperatively and in 88.5% postoperatively. Mean cycloplegic refraction was -16.05 diopters (D) preoperatively; the residual cycloplegic refraction was within 1.00 D in 48.4% of eyes and within 2.00 D in 92.5% postoperatively. CONCLUSION: Because of its high predictability, stability, and low morbidity, we believe clear lens extraction is a reasonable refractive surgery option for middle-aged patients with myopia.