Refractive lens exchange for myopia: a new perspective?

Abstract:

PURPOSE OF REVIEW:Although lens surgery for high myopia has a long History, it has been extremely controversial. Colin's study of 1999 indicated a much higher than expected rate of retinal detachment. The purpose of this review is to reassess the place of refractive lens exchange in high myopia in the light of more recent reports in the literature and a more critical examination of Colin's data. RECENT FINDINGS:A meta analysis of papers on refractive lens exchange and cataract in high myopia between 1996 and 2004 included some 2036 eyes. The mean follow up was 43.5 months and overall incidence of retinal detachment was 1.85%. This is only slightly different from that expected in the highly myopic population as reported by Burton at 1.5%. The recent reports in 2003 of Ravalico et al. and Guell et al., with 4 year follow up, show only 1 detachment for 422 eyes. Further Colin's study had a group very high in risk factors having a low incidence of posterior detachment and 30% pre-existing retinal lesions. SUMMARY:Modern surgical techniques, IOLs and choosing the appropriate group to whom this procedure should be offered should lead to it becoming an accepted, safe and common refractive operation.

journal_name

Curr Opin Ophthalmol

authors

Packard R

doi

10.1097/00055735-200502000-00009

keywords:

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

53-6

issue

1

eissn

1040-8738

issn

1531-7021

pii

00055735-200502000-00009

journal_volume

16

pub_type

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