Page 170 - A Magyar Szemorvostársaság 2023. évi kongresszusa - Tudományos program és előadáskivonatok

Results: UDVA and CDVA were 0.16±0.27 and 0.54±0.34 preoperatively, or 0.80±0.3 and
0.90±0.3 postop respectively. Planned postop refraction arose -0.59±0.46D, while one-month
postop manifest refraction was 0.27±0.57D on average. Manifest refraction became in no case
hyperopic, and it was 0.0D in more than half of the examined eyes. Twelve patients were totally
satisfied on both eyes with the final refractive outcome, and just one patient asked to plan the
second eye to monovision.

Discussion: Many surgeons plan the eyes with considerably longer axis than the average
traditionally to -2.0D up to this day. The reason of that is partially the inurement, and partially
the hyperopic shift experienced earlier quite often. The last one can related to the inaccuracy
of the ultrasound biometry occurred frequently and/or to use an obsolete IOL calculating
formula. According of our experience and the literature using optic biometer and a modern IOL
calculating formula we can plan safely high myopic eyes to emmetropia or near to emmetropia
leaving a minimal minus dioptre on the eye.