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Pucci V., Tappainer F., Morselli S.
A critical review of the literature and personal data about the clear lens extraction with posterior chamber intraocular lens implantation (IOL) in case of high myopia is presented. The authors suggest clear lens phacoemulsification and IOL implantation in eyes with a myopia more than 12 diopters. No serious intraoperative complication occurred. Uncorrected visual acuity improved in all cases. The mean postoperative best corrected visual acuity improved by an average of 1 line. One case (4%) of postoperative retinal detachment occurred during a mean postoperative follow-up of 42 months. The authors consider this technique effective, with an acceptable predictability and a low rate of complications, but suggest a careful evaluation of retinal periphery by indirect ophthalmoscopy to avoid postoperative retinal detachment.