Abstract
Cataract surgery in eyes with high myopia is a special situation. Careful preoperative, perioperative, and postoperative planning is mandatory. This chapter discusses epidemiology, risk evaluation, intraocular lens calculations, appropriateness for premium intraocular lenses, and the informed consent process. Considerations for eyes with previous refractive surgery are identified. Also discussed are aspects regarding timing of surgery, anesthesia, and specific surgical techniques, with a focus on methods of nuclear disassembly. Finally, postoperative care and expectations are explored.
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References
Klein BE, Klein R, Moss SE. Incident cataract surgery: the Beaver Dam eye study. Ophthalmology. 1997;104(4):573–80.
Lim R, Mitchell P, Cumming RG. Refractive associations with cataract: the Blue Mountains eye study. Invest Ophthalmol Vis Sci. 1999;40(12):3021–6.
Younan C, Mitchell P, Cumming RG, et al. Myopia and incident cataract surgery: the Blue Mountains eye study. Invest Ophthalmol Vis Sci. 2002;43(12):3625–32.
Mifflin MD, Wolsey DH. Chapter 31. Cataract surgery after refractive surgery. In: Essentials of cataract surgery. Thorofare; p. 271–82.
Williams MA, et al. The incidence and rate of rhegmatogenous retinal detachment seven years after cataract surgery in patients with high myopia. Ulster Med J. 2009;78(2):99–104.
Attebo K, et al. Prevalence and causes of amblyopia in an adult population. Ophthalmology. 1998;105(1):154–9.
Chiou AG, et al. Management of corneal ectasia and cataract following photorefractive keratectomy. J Cataract Refract Surg. 2006;32(4):679–80.
Jacobi FK, Hessemer V. Pseudophakic retinal detachment in high axial myopia. J Cataract Refract Surg. 1997;23(7):1095–102.
Szijarto Z, et al. Pseudophakic retinal detachment after phacoemulsification. Ann Ophthalmol. 2007;39(2):13409.
Seward H, et al. Management of cataract surgery in a high myope. Br J Ophthalmol. 2001;85:1372–8.
Curtin BJ, Karlin DB. Axial length measurements and fundus changes in the myopic eye. Am J Ophthalmol: 1971;71:42–53.
Roessler GF, et al. Accuracy of intraocular lens power calculation using partial coherence interferometry in patients with high myopia. Ophthalmic Physiol Opt. 2012;32:228–33.
Byrne SF, Green RL. Ultrasound of the eye and orbit. St. Louis, MO: Mosby; 1992. p. 2e.
Wolf A, et al. Mild topographic abnormalities that become more suspicious on Scheimpflug imaging. Eur J Ophthalmol. 2009;19(1):10–7.
Wang L, et al. Evaluation of intraocular lens power prediction methods using the American Society of Cataract and Refractive Surgeons Post-Refractive Surgery IOL Calculator. J Cataract Refract Surg. 2010;36(9):1466–73. ASCRS.org.
Kohnen S, Brauweiler PJ. First results of cataract surgery and implantation of negative power intraocular lenses in highly myopic eyes. J Cataract Refract Surg. 1996;22:416–20.
Greenbaum S. Parabulbar anesthesia. Am J Ophthalmol. 1992;|114:776.
Kumar CM, Dodds D. Evaluation of the Greenbaum sub-Tenon’s block. Br J Anaesth. 2001;87(4):631–3.
Beatty S, Lotery A, Kent D, et al. Acute intraoperative suprachoroidal hemorrhage in ocular surgery. Eye (Lond). 1998;12(Pt 5):815–20.
Ling R, Cole M, James C, et al. Suprachoroidal hemorrhage complicating cataract surgery in the UK: epidemiology, clinical features, management, and outcomes. Br J Ophthalmol. 2004;88(4):478–80.
Chang DF, Tan JJ, Tripodis Y. Risk factors for steroid response among cataract patients. J Cataract Refract Surg. 2011;37(4):675–81.
Wejde G, et al. Posterior capsular opacification: comparison of 3 intraocular lenses of different material and design. J Cataract Refract Surg. 2003;29(8):1556–9.
Ranta P, Tomilla P, Kivela T. Retinal breaks and detachment after neodymium: YAG laser posterior capsulotomy: five-year incidence in a prospective cohort. J Cataract Refract Surg. 2004;30(1):58–66.
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Dodick, J.M., Kahn, J.B. (2014). Special Considerations for Cataract Surgery in the Face of Pathologic Myopia. In: Spaide, R., Ohno-Matsui, K., Yannuzzi, L. (eds) Pathologic Myopia. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8338-0_21
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DOI: https://doi.org/10.1007/978-1-4614-8338-0_21
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