Postoperative Outcome of Combined Phacovitrectomy in Eyes with Excessive Myopia (>-30 D)

Background. To report the outcomes of phacoemulsification combined with vitrectomy in eyes with extreme myopia (-30 diopters or more). Case Presentation. Three patients with cataract, vitreous opacities, and extreme myopia of more than -30 diopters underwent a combined surgical procedure of cataract...

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Bibliographic Details
Published in:Case reports in ophthalmological medicine 2023-11, Vol.2023, p.1-4
Main Authors: Fan, Hua, Zhang, Mingming, Tzekov, Radouil, Qian, Zhuyun, Yang, Jiasong, Xie, XiaoLin, Li, Wensheng
Format: Article
Language:English
Subjects:
Biometrics
Case reports
Cataracts
Eye surgery
Intraocular lenses
Lasers
Myopia
Retinal detachment
Surgical outcomes
Ultrasonic imaging
Visual acuity
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Summary:Background. To report the outcomes of phacoemulsification combined with vitrectomy in eyes with extreme myopia (-30 diopters or more). Case Presentation. Three patients with cataract, vitreous opacities, and extreme myopia of more than -30 diopters underwent a combined surgical procedure of cataract extraction combined with vitrectomy. Postoperative refractive correction of the three cases ranged from -1.0 D to -2.5 D spherical equivalent. There was an obvious hyperopic shift of all cases. All patients noted a significant improvement in uncorrected and best-corrected visual acuity from 0.4 to 0.8 in case 1, from CF/70 cm to 1.0 in case 2, and from 0.12 to 0.5 in the right eye and 0.15 to 0.2 in the left eye in case 3. Vitreous floaters disappeared in all cases. No complications were noted during follow-up. Conclusions. To the best of the authors’ knowledge, these represent the first reported clinical cases of combined cataract extraction+vitrectomy surgery in eyes with extreme (>-30 D) myopia. Our results support the notion that phacoemulsification combined with vitrectomy may be a good therapeutic option for cataracts and vitreous floaters in cases with extreme myopia.
ISSN:2090-6722
2090-6730
DOI:10.1155/2023/7367922