Purpose: To report the intraoperative experience and early postoperative results of implantation of an intraocular lens (IOL) developed specifically for myopic eyes.
Setting: Wolverhampton Eye Infirmary, Wolverhampton, United Kingdom.
Methods: This retrospective study evaluated consecutive highly myopic eyes having implantation of a Bigbag IOL from November 2003 to December 2007. Before IOL placement, a 2.8 mm clear corneal incision was created and phacoemulsification performed. The IOL was implanted using the dedicated folder and injector supplied by the manufacturer.
Results: The study evaluated 67 eyes (48 patients) with a mean follow-up of 8.5 months (range 0.75 to 31 months). Intraoperative complications were IOL haptic damage from the injector system (3 eyes; 4.5%) and posterior capsule tear (1 eye; 1.5%). Postoperative complications were posterior capsule opacification (29 eyes; 43%), retinal detachment (1 eye; 1.5%), and iritis (1 eye; 1.5%). The postoperative corrected distance visual acuity was 0.10 logMAR or better in 24 eyes (35.8%) and 0.18 to 0.48 logMAR in 32 eyes (47.8%). Forty-three eyes (64.2%) were within +/-1.00 diopter of the intended refractive outcome.
Conclusion: Preliminary results indicate that this 3-haptic IOL is safe and appropriate for use in highly myopic patients having cataract surgery.
Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.
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