Intraocular lens implantation and high myopia

Abstract

Ormula and ranged from + 9.0 to + 18.5 diopters (D). There was no statistical difference in postoperative complications between the aphakic and pseudophakic groups. The postoperative aphakic refractions ranged from + 9.5 D to - 3.5 D, and the pseudophakic refractions, from + 2.5 D to -14.0 D. A visual acuity of 20/40 or better was achieved by 51% of aphakic patients and 63% of pseudophakic patients. A near visual acuity of 20/40 or better was achieved by 65% of pseudophakic patients. Seventy-three pseudophakic eyes (87%) were not corrected or were corrected with minus diopter lenses. This confirmed our opinion that there was no need to correct them for near vision. According to a postoperative questionnaire, 67% of the pseudophakic patients did not need spectacles for near vision and 93% of patients could see comfortably for daily life. In view of these results, we feel that most myopic patients are good candidates for IOL implantation. *Reprint requests to Toshiyuki Ochi, M.D., Department of Ophthalmology, Showa University, School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, Japan. © Williams & Wilkins 1988. All Rights Reserved....