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Research ArticleOriginal Article
Open Access

Phacoemulsification in high myopia

Serpil Akar, Kemran Gok, Sukru Bayraktar, Vedat Kaya, Yasar Kucuksumer, Cigdem Altan and Omer F. Yilmaz
Saudi Medical Journal October 2010, 31 (10) 1141-1145;
Serpil Akar
Anterior Segment Department, Beyoglu Education and Research Eye Hospital, Istanbul, Turkey. Tel. +90 (216) 3274787. Fax. +90 (216) 2450947. E-mail: [email protected]
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Kemran Gok
Anterior Segment Department, Beyoglu Education and Research Eye Hospital, Istanbul, Turkey. Tel. +90 (216) 3274787. Fax. +90 (216) 2450947. E-mail: [email protected]
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Sukru Bayraktar
Anterior Segment Department, Beyoglu Education and Research Eye Hospital, Istanbul, Turkey. Tel. +90 (216) 3274787. Fax. +90 (216) 2450947. E-mail: [email protected]
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Vedat Kaya
Anterior Segment Department, Beyoglu Education and Research Eye Hospital, Istanbul, Turkey. Tel. +90 (216) 3274787. Fax. +90 (216) 2450947. E-mail: [email protected]
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Yasar Kucuksumer
Anterior Segment Department, Beyoglu Education and Research Eye Hospital, Istanbul, Turkey. Tel. +90 (216) 3274787. Fax. +90 (216) 2450947. E-mail: [email protected]
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Cigdem Altan
Anterior Segment Department, Beyoglu Education and Research Eye Hospital, Istanbul, Turkey. Tel. +90 (216) 3274787. Fax. +90 (216) 2450947. E-mail: [email protected]
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Omer F. Yilmaz
Anterior Segment Department, Beyoglu Education and Research Eye Hospital, Istanbul, Turkey. Tel. +90 (216) 3274787. Fax. +90 (216) 2450947. E-mail: [email protected]
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Abstract

OBJECTIVE: To analyze the visual results of phacoemulsification in highly myopic eyes, to investigate the risk factors for poor postoperative visual acuity and to assess postoperative complications.

METHODS: This retrospective study reviewed the records of 209 eyes of 150 patients with high myopia who underwent phacoemulsification and foldable intraocular lens (IOL) implantation between January 1998 and July 2008 at Beyoglu Education and Research Eye Hospital, Istanbul, Turkey.

RESULTS: Postoperative best-corrected visual acuity (BCVA) was 0.5 or better in 63.2% of eyes. One hundred forty-seven (70.3%) eyes were within ±1.0 diopter (D) of the intended target refraction. In multiple regressions, only pre-existing myopic chorioretinal macular degeneration was found to be associated with poor BCVA (p=0.000). Nor patient age nor axial length (AL) had any correlation with postoperative BCVA. Retinal detachment (RD) occurred in one eye (0.5%) during mean follow-up (18.7±8.9 months).

CONCLUSION: Most of the eyes with high myopia achieved satisfactory improvement in BCVA with few complications. Myopic retinal degenerative changes were the single independent factor limiting visual potential. Our lower incidence of postoperative RD could be attributed partially to our lower neodymium:yttrium-aluminum-garnet (Nd:YAG) laser capsulotomy rates and our surgical modification involving the implementation of primary posterior capsulorhexis in all patients younger than 40.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 31 (10)
Saudi Medical Journal
Vol. 31, Issue 10
1 Oct 2010
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Phacoemulsification in high myopia
Serpil Akar, Kemran Gok, Sukru Bayraktar, Vedat Kaya, Yasar Kucuksumer, Cigdem Altan, Omer F. Yilmaz
Saudi Medical Journal Oct 2010, 31 (10) 1141-1145;

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Phacoemulsification in high myopia
Serpil Akar, Kemran Gok, Sukru Bayraktar, Vedat Kaya, Yasar Kucuksumer, Cigdem Altan, Omer F. Yilmaz
Saudi Medical Journal Oct 2010, 31 (10) 1141-1145;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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