Clear Lens Extraction with Phacoemulsification Technique in High Myopia Patient : A Case Report
Main Article Content
Keywords
High myopia, phacoemulsification
Abstract
Introduction: Correction of high myopia by clear lens extraction surgery, with or without intraocular lens (IOL) implantation, is still controversial and is associated with a high risk of postoperative retinal detachment. However, rapid technological advances in cataract surgery have resulted in excellent surgical results with very low complication rates. In this article, the authors will present the outcome of the clear lens phacoemulsification procedure in the correction of high myopia in two eyes of one patient.
Purpose: To know improvement of the visual acuity in clear lens exchange phacoemulsification in high myopia patient.
Case Report: A 22 years old young woman came to the Balimed Hospital with blurry vision on the both eyes, with counting finger (0,5/60) visual acuity on the both eyes and history of high myopia in both eyes. Right eye S-18.00 and Left eye S-18.00. On ophthalmological examination finds optic nerve head round well demarcated, myopic crescent, CDR 0,3 aa/vv 2/3, tygroid retinal, macula reflex (+). She was underwent a barrage laser photocoagulation and clear lens exchange phacoemulsification on the both eyes (right eye on November 11st 2022 and left eye on November 25th 2022). One month after the clear lens exchange phacoemulsification, the visual acuity on the right eyes is 6/20 and left eye is 6/19. The operation was successfully performed and eye pressure is normal on the both eyes. Patient wear glasses with right eye: Sph.-1.75 Cyl. -2.50 Ax.180 and left eye: Sph.-3.00 Cyl. -1.50 Ax.180.
Conclusion: Clear lens phacoemulsification for high myopia correction is an effective procedure and can prove excellent visual outcome for a long-term period. It can be considered as an alternative method for high myopia management.
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