Marcela L Pomberg1, Kevin M Miller. 1. Jules Stein Eye Institute and the Department of Ophthalmology, David Geffen School of Medicine at UCLA, 100 Stein Plaza, University of California at Los Angeles, Los Angeles, CA 90095-7002, USA.
Abstract
PURPOSE: To report the preliminary efficacy and safety of zero diopter (D) intraocular lens implantation in highly myopic eyes. DESIGN: Retrospective surgical case series. METHODS: Three highly myopic eyes with axial lengths greater than 30 mm were implanted with zero D Alcon model MA60MA 3-piece acrylic posterior chamber lenses at the time of cataract surgery. RESULTS: Uncorrected visual acuity improved from counting fingers to 20/20- and 20/40- in two eyes. Best-corrected visual acuity improved from 20/80 and 20/60+ to 20/20- in the same eyes. A third eye was at counting fingers before and after surgery, because of a staphyloma. The range of preoperative, intended postoperative, and achieved postoperative spherical equivalent refractive errors was -15.1 to -25.0 diopters, -0.20 to -1.44 diopters, and +0.13 to +0.50 diopters respectively. CONCLUSIONS: All eyes experienced mild hyperopic refractive errors after surgery. No retinal detachments occurred during the follow-up interval.
PURPOSE: To report the preliminary efficacy and safety of zero diopter (D) intraocular lens implantation in highly myopic eyes. DESIGN: Retrospective surgical case series. METHODS: Three highly myopic eyes with axial lengths greater than 30 mm were implanted with zero D Alcon model MA60MA 3-piece acrylic posterior chamber lenses at the time of cataract surgery. RESULTS: Uncorrected visual acuity improved from counting fingers to 20/20- and 20/40- in two eyes. Best-corrected visual acuity improved from 20/80 and 20/60+ to 20/20- in the same eyes. A third eye was at counting fingers before and after surgery, because of a staphyloma. The range of preoperative, intended postoperative, and achieved postoperative spherical equivalent refractive errors was -15.1 to -25.0 diopters, -0.20 to -1.44 diopters, and +0.13 to +0.50 diopters respectively. CONCLUSIONS: All eyes experienced mild hyperopic refractive errors after surgery. No retinal detachments occurred during the follow-up interval.