Cataract surgery in highly myopic eyes presents distinct challenges that require careful planning, surgical technique adjustment and close postoperative management.
When the axial length exceeds 26 mm, the structural mechanics of the eye change completely: We are working with a deeper anterior chamber, a larger capsular bag, thinner sclera, potentially weaker zonules and a vulnerable posterior segment. Operating on these long eyes as if they were standard routine cases can lead to intraoperative surprises such as lens-iris diaphragm retropulsion syndrome, capsular rupture or postoperative