Journal of the Korean Ophthalmological Society 1999;40(3):833-839.
Published online March 1, 1999.
The Surgical Outcome of Clear Lens Extraction for Correction of Severe High Myopia.
Sang Won Kim, Hae Song Kim, Wan Soo Kim
Department of Ophthalmology, Maryknoll Hospital.
심한 고도근시의 교정을 목적으로 시행한 투명수정체적출술후의 수술성적
김상원(Sang Won Kim),김해송(Hae Song Kim),김완수(Wan Soo Kim)
Abstract
The authors performed clear lens extraction on 22 eye to treat severe high myopia more than 12 diopters(D). The changes in spherical equivalent (S. E.), visual acuity improvement, and the complications were evaluated during 6 months postoperatively. A scleral pocket incision and continuous curvilinear capsulorhexis was made and lens extraction was performed via phacoemulsification and low power poserior chamber intraocular lens was implanted. The postoperative refractive error target were form -1.5D to-2.0D. More than 85% of eyes were within +/-1D of targeted refractive error. The posoperative uncorrected visual acuities were increased more than 20/200 in all eyes and 20% of eyes were increased more than 20/40 at postoperative two months. The postoperative corrected visual acuities were increased two or more limes in more than 80% of eyes. Intraoperatively, hyphema in one eye, wound leaking in two eyes and radial tear during contimuous curvilinear capsulorhexis in one eye were developed. Poltoperatively, retinal detachment in two eyes, subretinal neovascularization in one eye and posterior capsular opacification in three eyes were developed. In conclusion, the clear lens extraction was a effective method for correction of severe high myopia but longer follow-up of large number of cases is needed to fully assess the safety.
Key Words: clear lens extraction;Complications;Visual out come


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