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

Overview

Journal Case Rep Ophthalmol Med

Publisher Wiley

Specialty Ophthalmology

Date 2023 Nov 29

PMID 38022731

Authors

Hua Fan

Mingming Zhang

Radouil Tzekov

Zhuyun Qian

Jiasong Yang

Xiaolin Xie

Wensheng Li

Affiliations

Soon will be listed here.

Abstract

Background: To report the outcomes of phacoemulsification combined with vitrectomy in eyes with extreme myopia (-30 diopters or more). . 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.

References

Lam J, Chan T, Ng A, Chow V, Wong V, Jhanji V . Outcomes of cataract operations in extreme high axial myopia. Graefes Arch Clin Exp Ophthalmol. 2016; 254(9):1811-7. DOI: 10.1007/s00417-016-3414-y. View

Takahashi H, Tanaka N, Shinohara K, Yokoi T, Yoshida T, Uramoto K . Ultra-Widefield Optical Coherence Tomographic Imaging of Posterior Vitreous in Eyes With High Myopia. Am J Ophthalmol. 2019; 206:102-112. DOI: 10.1016/j.ajo.2019.03.011. View

Tsang C, Chong G, Yiu E, Ho C . Intraocular lens power calculation formulas in Chinese eyes with high axial myopia. J Cataract Refract Surg. 2003; 29(7):1358-64. DOI: 10.1016/s0886-3350(02)01976-4. View

Younan C, Mitchell P, Cumming R, Rochtchina E, Wang J . Myopia and incident cataract and cataract surgery: the blue mountains eye study. Invest Ophthalmol Vis Sci. 2002; 43(12):3625-32. View

Zhao Y, Li J, Yang K, Li X, Zhu S . Combined Special Capsular Tension Ring and Toric IOL Implantation for Management of Astigmatism and High Axial Myopia with Cataracts. Semin Ophthalmol. 2016; 33(3):389-394. DOI: 10.1080/08820538.2016.1247181. View

Schild A, Rosentreter A, Hellmich M, Lappas A, Dinslage S, Dietlein T . Effect of a capsular tension ring on refractive outcomes in eyes with high myopia. J Cataract Refract Surg. 2010; 36(12):2087-93. DOI: 10.1016/j.jcrs.2010.06.065. View

Zuberbuhler B, Seyedian M, Tuft S . Phacoemulsification in eyes with extreme axial myopia. J Cataract Refract Surg. 2009; 35(2):335-40. DOI: 10.1016/j.jcrs.2008.10.044. View

Zheng Q, Wu R, Yang S, Zhang Y, Li W . Clear lens phacoemulsification combined with vitrectomy to correct high myopia: four years of follow-up. Ophthalmic Res. 2012; 49(2):73-80. DOI: 10.1159/000341074. View

Chong E, Mehta J . High myopia and cataract surgery. Curr Opin Ophthalmol. 2015; 27(1):45-50. DOI: 10.1097/ICU.0000000000000217. View

10.

Jonas J, Xu L . Histological changes of high axial myopia. Eye (Lond). 2013; 28(2):113-7. PMC: 3930258. DOI: 10.1038/eye.2013.223. View

11.

Pachtaev N, Kulikov I, Pikusova S . [Femtosecond laser-assisted cataract surgery and conventional phacoemulsification cataract surgery in patients with lens subluxation]. Vestn Oftalmol. 2018; 134(3):65-72. DOI: 10.17116/oftalma2018134365. View

12.

Zaldivar R, Shultz M, Davidorf J, Holladay J . Intraocular lens power calculations in patients with extreme myopia. J Cataract Refract Surg. 2000; 26(5):668-74. DOI: 10.1016/s0886-3350(00)00367-9. View

13.

Coppola M, Rabiolo A, Cicinelli M, Querques G, Bandello F . Vitrectomy in high myopia: a narrative review. Int J Retina Vitreous. 2017; 3:37. PMC: 5623972. DOI: 10.1186/s40942-017-0090-y. View