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

Background. To report the outcomes of phacoemulsification combined with vitrectomy in eyes with extreme myopia (-30 diopters or more). Case Presentation. Three patients with cataract, vitreous opacities, and extreme myopia of more than -30 diopters underwent a combined surgical procedure of cataract...

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Main Authors: Hua Fan, Mingming Zhang, Radouil Tzekov, Zhuyun Qian, Jiasong Yang, XiaoLin Xie, Wensheng Li
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2023/7367922
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author Hua Fan
Mingming Zhang
Radouil Tzekov
Zhuyun Qian
Jiasong Yang
XiaoLin Xie
Wensheng Li
author_facet Hua Fan
Mingming Zhang
Radouil Tzekov
Zhuyun Qian
Jiasong Yang
XiaoLin Xie
Wensheng Li
author_sort Hua Fan
collection DOAJ
description Background. To report the outcomes of phacoemulsification combined with vitrectomy in eyes with extreme myopia (-30 diopters or more). Case Presentation. 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.
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publishDate 2023-01-01
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spelling doaj-art-04a4783b4a094501b9ede8e25f4401e82025-02-03T06:42:46ZengWileyCase Reports in Ophthalmological Medicine2090-67302023-01-01202310.1155/2023/7367922Postoperative Outcome of Combined Phacovitrectomy in Eyes with Excessive Myopia (>-30 D)Hua Fan0Mingming Zhang1Radouil Tzekov2Zhuyun Qian3Jiasong Yang4XiaoLin Xie5Wensheng Li6Department of RetinaDepartment of Cataract & RetinaDepartment of OphthalmologyDepartment of RetinaDepartment of RetinaDepartment of RetinaDepartment of RetinaBackground. To report the outcomes of phacoemulsification combined with vitrectomy in eyes with extreme myopia (-30 diopters or more). Case Presentation. 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.http://dx.doi.org/10.1155/2023/7367922
spellingShingle Hua Fan
Mingming Zhang
Radouil Tzekov
Zhuyun Qian
Jiasong Yang
XiaoLin Xie
Wensheng Li
Postoperative Outcome of Combined Phacovitrectomy in Eyes with Excessive Myopia (>-30 D)
Case Reports in Ophthalmological Medicine
title Postoperative Outcome of Combined Phacovitrectomy in Eyes with Excessive Myopia (>-30 D)
title_full Postoperative Outcome of Combined Phacovitrectomy in Eyes with Excessive Myopia (>-30 D)
title_fullStr Postoperative Outcome of Combined Phacovitrectomy in Eyes with Excessive Myopia (>-30 D)
title_full_unstemmed Postoperative Outcome of Combined Phacovitrectomy in Eyes with Excessive Myopia (>-30 D)
title_short Postoperative Outcome of Combined Phacovitrectomy in Eyes with Excessive Myopia (>-30 D)
title_sort postoperative outcome of combined phacovitrectomy in eyes with excessive myopia 30 d
url http://dx.doi.org/10.1155/2023/7367922
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AT mingmingzhang postoperativeoutcomeofcombinedphacovitrectomyineyeswithexcessivemyopia30d
AT radouiltzekov postoperativeoutcomeofcombinedphacovitrectomyineyeswithexcessivemyopia30d
AT zhuyunqian postoperativeoutcomeofcombinedphacovitrectomyineyeswithexcessivemyopia30d
AT jiasongyang postoperativeoutcomeofcombinedphacovitrectomyineyeswithexcessivemyopia30d
AT xiaolinxie postoperativeoutcomeofcombinedphacovitrectomyineyeswithexcessivemyopia30d
AT wenshengli postoperativeoutcomeofcombinedphacovitrectomyineyeswithexcessivemyopia30d