Material and Methods: In this retrospective study, we evaluated the records of 15 patients with high myopia who underwent CLE between 2005 and 2011 in our clinic. Main outcome measures were visual acuity, refraction, intraoperative and postoperative complications, and posterior capsular opacification (PCO).

Results: 25 eyes of 15 patients (6 men, 9 women) with a mean age of 53.08±12.42 (36-80) years who undervent CLE were evaluated. Mean preoperative and postoperative spherical equivalent refraction were 14.90±5.15 Diopters (D) and -0.67±0.94 D (p<0.01), respectively. Preoperative and postoperative best corrected visual acuities were 0.55±0.48 and 0.24±0.23 (LogMAR), respectively. No patients had intraoperative complications. During follow-up one eye had retinal detachment at postoperative 13th months, two eyes had posterior vitreous detachment, and one eye had increased intraocular pressure postoperatively. Due to biometry error, one eye showed -1.50 D refractive shift. Various degrees of PCO were observed in 15 eyes (39.47%) during the follow-up period. Nd:YAG laser capsulotomy was performed 11 of those eyes (73.3%). One patient had retinal detachment after laser capsulotomy.

Conclusion: Although the visual and refractive results of clear lens extraction are satisfactory, high incidence of postoperative retinal detachment can be observed. Therefore, all patients should be informed because of possible postoperative complications, evaluated in detail preoperatively and closely monitored postoperatively. Keywords : Myopia, clear lens extraction, retinal detachment