Mashchenko, Khudyakov, Zhigulin, Rudenko, Lebedev (Khabarovsk, Russia)


To study results of surgical treatment of secondary cataract by using 25G bi-port transciliary capsulevitrectomy in patients with high axial myopia.


43 patients (44 eyes) with high axial myopia and posterior lens capsule opacity of different degree were examined. There were paraoral and equatorial dystrophy in 23 eyes, myopic changes of posterior pole in 15 eyes and mixed forms of degeneration in 6 cases. There were 36 pseudophakic eyes with different IOL models and 8 aphakic eyes. We performed 25G bi-port transciliary capsulevitrectomy with maximal mydriasis. Firstly, posterior lens capsule behind optic part of the IOL in pseudophakic eyes and all the visible parts in aphakic eyes were removed followed by removal of the partially destructed anterior hyaloid membrane and the central part of the vitreous body. All cases of surgical treatment that were performed according to the strategy described above did not reveal any complications.

Effectiveness / Safety:

Evident increase of visual acuity of 0,25±0,05 was attained on day 2 postoperatively. All patients noticed disappearance of “floaters” and improvement of scotopic vision. Visual acuity of most patients attained 0,64±0,07 through three months and remained on this level throughout the follow-up period (three years).

Take home message:

This technology described is an effective and safe method for surgical treatment of secondary cataract in patients with high axial myopia and an increased risk of retinal complications. This method allows to avoid potential complications after Nd:YAG capsulotomy in patients with high myopia.