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Management of complication after lens extraction surgery in high myopia patients with cataract: a serial case

Nindya Suryani Prasetyo , Ariesanti Tri Handayani, I Made Agus Kusumadjaja

Nindya Suryani Prasetyo
Ophthalmology Department, Udayana University, Sanglah Hospital. Email: nindya.prasetyo@gmail.com

Ariesanti Tri Handayani
Ophthalmology Department, Udayana University, Sanglah Hospital

I Made Agus Kusumadjaja
Ophthalmology Department, Udayana University, Sanglah Hospital
Online First: December 15, 2020 | Cite this Article
Prasetyo, N., Handayani, A., Kusumadjaja, I. 2020. Management of complication after lens extraction surgery in high myopia patients with cataract: a serial case. Bali Journal of Ophthalmology 4(2). DOI:10.15562/bjo.v4i2.78


Introduction: Myopia is the most common refraction error. Its prevalence has increased in recent years. Complications after cataract surgery often occur in myopia patients, especially in severe myopia. Appropriate treatment is needed before and after the cataract surgery to deal with that complications.

Case Report: The first patient was a 63-year-old woman with BCVA of the right eye (RE) 6/48 and the left eye (LE) 6/30. The refraction was done subjectively, with result S-11.00 C-2.00x90o for RE and S-12.00 C-1.50x80o for LE. Both eyes had immature cataracts and were planned for phacoemulsification and implantation of capsular tension ring (CTR) and intraocular lens (IOL). Postoperatively, both eyes’ intraocular pressure (IOP) increased (RE 25 mmHg, LE 24 mmHg). The second patient was a 67-year-old woman with high myopia, astigmatism and immature senile cataracts. The same surgery as the previous patient was done. One month after surgery, posterior capsular opacification (PCO) occurred in both eyes, and they were treated by NdYag laser. After that procedure, visual acuity became better.

Conclusion: Cataract surgery in high myopia patients is challenging. Various complications may occur during and after surgery. The anticipation of these complications and appropriate treatment are essential for better visual acuity.

 

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