Visual Outcome in Myopic Patients after Clear Lens Extraction (Cle)/refractive Lens Exchange (Rle) and Implantation of Intraocular Lens. | [Pakistan Armed Forces Medical Journal • 2019]

Author(s):

1. Zulfiqar Uddin Syed: Combined Military Hospital Peshawar/National University of Medical Sciences (NUMS), Pakistan

2. Zulqarnain Ashraf Raja: Combined Military Hospital Peshawar/National University of Medical Sciences (NUMS), Pakistan

3. Tufail Ahmed: Combined Military Hospital Peshawar/National University of Medical Sciences (NUMS), Pakistan

4. Abid Hassan Naqvi: Combined Military Hospital Peshawar/National University of Medical Sciences (NUMS), Pakistan

5. Amjad Akram: Combined Military Hospital Quetta/National University of Medical Sciences (NUMS), Pakistan

Abstract:

Objective: To evaluate the visual outcome after clear lens-extraction (CLE)/refractive lens exchange (RLE) and implantation of intraocular lens (IOL) in myopic eyes. Study Design: A descriptive study. Place and Duration of Study: This study was conducted in CMH Multan from Jan 2014 to Aug 2015 and CMH Peshawar from Sep 2015 to Dec 2016. Patients and Methods: Eighty eyes of 40 patients had clear lens extraction by Phacoemulsification and aspiration followed by foldable intraocular lens implantation through 2.75mm clear corneal incision. There were seventeen (42.5%) male patients i.e. 34 eyes and twenty three (57.5%) female patients i.e. 46 eyes. Mean age of patients was 26.8 years. Myopia of -9.00 D to -20.00 D with one year stability were included in the study. Pre op retina was examined in all cases with special emphasis to retinal degenerative changes. All surgeries were performed by the same surgeon, under topical anaesthesia using the same make Phacoemulsification unit. All surgeries were uneventful and patients were followed up for six months after surgery. Results: Best spherical corrected visual acuity improved by 11.5% postoperatively i.e. 59 eyes (73.75%) had vision of 6/18 or better which increased to 68 eyes (85%) after surgery. Postoperative spherical correction was between 0.50 to -1.50 D and there were no vision threatening complications. Conclusion: In experienced hands clear lens extraction with foldable intraocular lens implantation is safe and effective way to treat high myopia that is not suitable for laser refractive surgery.

Page(s): 26-30

DOI: DOI not available

Published: Journal: Pakistan Armed Forces Medical Journal, Volume: 69, Issue: 1, Year: 2019

Keywords:

Visual outcome , HighMyopia

References:

[1] Chong,ElaineW, 2016.High Myopia and cataract surgery,Current Opinion in Ophthalmology 27 45 -50

[2] EmanuelR,JorgeL,BurkhardD,StevenD, 2016.Efficacy and safety of multifocal intraocular lenses following cataract and refractive lens exchange: Meta-analysis of peer-reviewed publications,J Cataract Refract Surg 42 310 -28

[3] HalilH,MetinE,GökçenG,MahmutO,ÖzlemD.,Intraocular, 2015.Lens implantation in eyes with high Myopia,Med J Bakırköy 11 13 -16

[4] AhmedE,EimanA,MohamedA.,Refractive LensExchange, 2015.,European Ophthalmic Review 9 17 -8

[5] SchmidtD,GrzybowskiA.,Vincenz, 2011.Fukala (1847e1911). The early history of clear-lens operations in high myopia,J Refract Surg 27 636 -7

[6] SchmidtD,GrzybowskiA,Vincenz Fukala, 2011.Versatile surgeon and early historian of ophthalmology,Surv Ophthalmol 56 550 -56

[7] SchmidtD,GrzybowskiA,Vincenz Fukala, 2013.The early history of clear lens operations in high myopia,Saudi J Ophthalmol 27 41 -46

[8] JorgeL,GrzybowskiA,RomaniukD., 2014.Refractive lens exchange in modern practice: when and when not to do it?,Eye and Vision 10 2 -13

[9] SaeedM,KhanM., 2008.Visual outcome of clear lens extraction (Phacorefractive) in myopia above -12D,Pak J Ophthalmol 24 59 -62

[10] JorgeL,AndrzejG,DorotaR, 2014.Refractive lens exchange in modern practice: when and when not to do it?,Eye and Vision 1 10 -

[11] Krader, 2012.,Euro Times 17 9 -

[12] AkalA,GoncuT,Cak makSS,YuvaciI,DemircanS,YilmazOF, 2014.Evaluation of early results of quick-chop phacoemulsification in the patients with high myopic cataract,International Journal of Ophthalmology 7 828 -831

[13] OscarW,TimoK., 2015.Epidemiology and outcomes in refractive lensexchange surgery,Acta Ophthalmol 93 41 -45

[14] CetinkayaS,AcirNO,CetinkayaYF,DadaciZ,YenerHI,SaglamF, 2015.Phacoemulsificatıonin eyes wıth cataract and high myopia,Arq Bras Oftalmol 78 286 -89

[15] Al MuammarAR,Al-HarkanD,Al-RashidyS,Al-SulimanS,MousaA, 2013.Frequency of retinal detachment after cataract surgery in highly myopic patients Saudi Med J, 34 511 -17

[16] TeresaF,SantiagoG,CésarA,LurdesB,RobertM., 2012.Refractive lens exchange with a multifocal diffractive aspheric intraocular lens Arq Bras Oftalmol, 75 192 -6

[17] NanavatyMA,DayaSM, 2012.Refractive lens exchange versus phakicintraocular lenses,Curr Opin Ophthalmol 23 54 -61

[18] LamJK, 2016.Outcomes of cataract operations inextreme high axial myopia,Graefes Arch Clin Exp Ophthalmol 254 1811 -17

[19] BhaskarS,HiuY,HeCao,ShuL,LizhenC,Alex H. Modern, 2016.Phacoemulsification and Intraocular Lens Implantation (Refractive Lens Exchange) Is Safe and Effective in Treating High Myopia,Asia Pac J Ophthalmol 5 438 -44

[20] AlióJL,GrzybowskiA,El AswadA,DorotaR, 2014.Refractive lens exchange,Surv Ophthalmol 59 579 -98

[21] YokoiT,MoriyamaM,HayashiK,ShimadaN,OhnoMK, 2013.Evaluation of refractive errorafter cataract surgery in highly myopic eyes,Int Ophthalmol 33 343 -48

Citations

Downloads

Views