High Myopia and Cataract Surgery

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Epidemiology

Myopia is highly prevalent in the general population, affecting approximately 25%. It affects a larger proportion of Asians and a smaller proportion of African Americans. High myopia affects about 2% of the population. High myopia refers to a spherical equivalent of -6.00 D or less or an axial length of 26.5 mm or more. Pathologic myopia refers to a spherical equivalent of -8.00 or less or an axial length of 32.5 mm or more.[1]


Preoperative Evaluation

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Patient Expectations

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Risks and Informed Consent

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IOL Calculations

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IOL Selection

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Perioperative Period

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Anesthesia

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Intraoperative Complications

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Surgical Technique

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Postoperative Management

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Medications

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Follow Up

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Late Complications

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Additional Resources

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References

  1. Basic Clinical and Science Course. Retina and Vitreous. 2013-14. Section 12 pg 85-86.


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