IOL calculations in highly myopic eyes

Most people consider high myopia to be about –10 D or greater, but what about patients who are –20 D or more? For these patients with very long axial lengths and extreme levels of myopia, cataract surgery can be life-changing, but it is also quite challenging. If your patient has an axial length of at least 30 mm or more than 15 D of myopia, be warned that the IOL power calculations, as well as the surgery, will be more challenging, as seen in Figure 1.
The first consideration is (Read more...)

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