Extracapsular cataract extraction with or without posterior chamber intraocular lenses in eyes with cataract and high myopia

I A Badr; H M Hussain; M Jabak; M D Wagoner

doi:10.1016/S0161-6420(95)30899-8

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Extracapsular cataract extraction with or without posterior chamber intraocular lenses in eyes with cataract and high myopia

Journal article

Peer reviewed

Extracapsular cataract extraction with or without posterior chamber intraocular lenses in eyes with cataract and high myopia

I A Badr, H M Hussain, M Jabak and M D Wagoner

Ophthalmology (Rochester, Minn.), Vol.102(8), pp.1139-1143

08/1995

DOI: 10.1016/S0161-6420(95)30899-8

PMID: 9097738

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Abstract

To compare the results of insertion of low-power or zero-power posterior chamber intraocular lenses (PC IOLs) after cataract extraction in eyes with high myopia with leaving the eye aphakic. The outcome of extracapsular cataract extraction (ECCE) with low-power or zero-power PC IOLs in 184 consecutive highly myopic (axial length = 26.0 mm or longer) eyes was compared with 184 consecutive highly myopic eyes receiving ECCE without PC IOLs. Axial length, preoperative visual acuity, age, sex, and follow-up were similar between both groups. In the pseudophakic eyes, there was a statistically significantly better visual outcome (P = 0.006), decreased incidence of posterior capsule opacification (13.6% versus 33.2%, P < 0.01), and decreased requirement for YAG capsulotomy (6.5% versus 17.9%, P < 0.01). There were two retinal detachments in the pseudophakic eyes compared with four in the aphakic eyes. There were no sight-threatening complications in 12 pseudophakic eyes after YAG capsulotomy. There were four sight-threatening complications (2 retinal detachments, 2 cases of uveitis with secondary glaucoma) in 33 aphakic eyes after YAG capsulotomy. The use of PC IOLs may result in a lower complication rate and better visual outcome after ECCE in eyes with cataract and high myopia.

Aphakia, Postcataract - etiology

Myopia - complications

Follow-Up Studies

Cataract Extraction

Humans

Middle Aged

Male

Treatment Outcome

Lenses, Intraocular

Cataract - complications

Myopia - physiopathology

Aged, 80 and over

Adult

Female

Aged

Cataract - physiopathology

Postoperative Complications

Visual Acuity - physiology

Aphakia, Postcataract - physiopathology

Details

Title: Subtitle: Extracapsular cataract extraction with or without posterior chamber intraocular lenses in eyes with cataract and high myopia
Creators: I A Badr - Department of Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
H M Hussain
M Jabak
M D Wagoner
Resource Type: Journal article
Publication Details: Ophthalmology (Rochester, Minn.), Vol.102(8), pp.1139-1143
Publisher: United States
DOI: 10.1016/S0161-6420(95)30899-8
PMID: 9097738
ISSN: 0161-6420
eISSN: 1549-4713
Language: English
Date published: 08/1995
Academic Unit: Ophthalmology and Visual Sciences
Record Identifier: 9983980296702771

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