Clear Lens Phacoemulsification as a Refractive Procedure for Myopia in Keratoconus

Purpose: To assess phacoemulsification with posterior chamber intraocular lens (IOL) implantation as an effective technique for the correction of high myopia in patients with keratoconus. Methods: A series of 20 eyes with myopia higher than - 10 diopter (D) had clear lens phacoemulsification with IOL implantation in the capsular bag. Biometry done using SRK 11 formula. The mean post-operative follow-up 6 months. Results: No serious intra-operative complication occured. Visual acuity improved postoperatively by 3 up to 5 lines in Snellen s chart in all the cases. The visual acuity improvment and field improvment. Also it was clear that some of the patients show contrast improvment and improvment in colour perception. Conclusion: Phacoemulsification for high myopia is a promising, effective and relatively safe refractive procedure especially in keratoconus patients.