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Outcomes of cataract operations in extreme high axial myopia

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Abstract

Purpose

To analyse the outcomes of phacoemulsification in extreme axial myopia

Methods

Consecutive cases of phacoemulsification in eyes with axial length ≥ 30.0 mm from January 1, 2010 to Dec 31, 2013 in a tertiary referral eye hospital were retrospectively reviewed. A single intraocular lens (IOL) type was used for all cases. Main outcome measures included perioperative complications and refractive outcome.

Results

Two hundred and twenty-one eyes were identified. Intraoperatively, two eyes (0.9 %) had unstable capsular bag and three (1.4 %) had posterior capsular rupture. At a mean follow-up duration was 27.4 ± 14.6 months, three eyes (1.5 % of 198 eyes with no history of retinal detachment or macular hole) developed retinal detachment. There was an overall hyperopic shift with a mean biometry error of 0.45 ± 1.21 D in all eyes. The mean absolute biometry prediction error was 0.98 ± 0.83 D in all eyes, 1.11 ± 0.86 D and 0.85 ± 0.82 D in eyes receiving negative- and positive-power IOL, respectively (p = 0.042). A total of 61.2 % of eyes had refractive outcome within ± 1.0 D of target spherical equivalent. Regression analysis showed low IOL power as an independent predictor for greater postoperative absolute biometry error (p = 0.014).

Conclusions

We showed no increase in perioperative complications in eyes with extreme high axial myopia. In eyes with long axial length, implantation of IOL with lower power was associated with more hyperopic shift, which was more pronounced with negative-power IOL.

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Authors and Affiliations

  1. Hong Kong Eye Hospital, 147K Argyle street, Kowloon, Hong Kong

    Jasmine K. M. Lam, Tommy C. Y. Chan, Vanissa W. S. Chow, Victoria W. Y. Wong & Vishal Jhanji

  2. Department of Ophthalmology and Visual Sciences, Chinese University of Hong Kong, Kowloon, Hong Kong

    Jasmine K. M. Lam, Tommy C. Y. Chan, Vanissa W. S. Chow, Victoria W. Y. Wong & Vishal Jhanji

  3. Department of Ophthalmology, University of Hong Kong, Hong Kong, Hong Kong

    Tommy C. Y. Chan & Alex L. K. Ng

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  1. Jasmine K. M. Lam
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Corresponding author

Correspondence to Tommy C. Y. Chan.

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All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required

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Informed consent was obtained from all individual participants included in the study.

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Lam, J.K.M., Chan, T.C.Y., Ng, A.L.K. et al. Outcomes of cataract operations in extreme high axial myopia. Graefes Arch Clin Exp Ophthalmol 254, 1811–1817 (2016). https://doi.org/10.1007/s00417-016-3414-y

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  • DOI: https://doi.org/10.1007/s00417-016-3414-y

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