Efficiency analysis for the refractive purpose of clear lens extraction (EPC) with implantation of an artificial lens in high myopia

The purpose of this work was to study the effectiveness of extraction of a transparent lens in order to correct myopia of medium and high degree. Currently, the correction of high-grade myopia is carried out with the use of phakic intraocular lenses (FIOL), since the correction of LASIK and PRK is not indicated, with a thinned cornea of myopes at a young age. In this paper, the results of cataract phacoemulsification of 20 patients (40 eyes) with moderate and high myopia, with implantation of hydrophobic acrylic IOLS Acrysof (Alcon, USA) in the middle age category (46.6±6.3) were analyzed. with high-grade myopia (M from -7.0D to -19.0D), 14 of them were women and 6 were men. Moderate myopia was detected in 6 patients (12 eyes) and high degree in 14 patients (28 eyes). In the preoperative period, 15 patients (30 eyes) underwent peripheral retinal laser coagulation (30 eyes). Operations were performed on two eyes with an interval of 2-3 weeks, depending on the state of the organ of vision and the general condition of patients. High visual acuity was obtained from 0.6 to 1.0 without correction and averaged =0.83 ±0.05. The accommodative capabilities of the artificial eyes were stopped by the appointment of weak positive lenses. Keywords: phacoemulsification, high degree myopia, IOL implantation, accommodation