AIM:To explore treatment and prevention strategies for complications of phacoemulsification in senile patients with cataract and high myopia.

METHODS: Cases were retrospectively analyzed. We selected 90 cases(134 eyes), in which 39 cases(68 eyes)were males, 51 cases(66 eyes)were females, average age were 62.7±7.2. The average axial length 29.54±1.54(27-32)mm. Corrected visual acuity was finger count to 0.5. All patients were followed for 6mo. Visual acuity, intraocular pressure, slit-lamp examination were observed at 1, 3d, 1, 3 and 6mo. Fundus examination was taken too, if necessary.

RESULTS: In the selected 90 patients(134 eyes), posterior capsular rupture occurred in 7 eyes(5.2%), including vitreous loss in 4 eyes(3.0%), lens subluxation in 2 eyes(1.5%), total dislocation in 1 eye(0.7%). Transient high intraocular pressure occurred in 9 eyes(6.7%), corneal edema in 17 eyes(12.7%), retinal detachment in 1 eye(0.7%), which were given symptomatic treatment actively and postoperative visual acuity became better than before. All patients were followed up for 6mo and 37 eyes(27.6%)went for doctor, because of decreased vision, posterior capsule opacification and treated through posterior capsular dissection with Nd: YAG laser. No suprachoroidad expulsive hemorrhage, iridial injury, pupil distortion, endophthalmitis and other serious complications occurred.

CONCLUSION: For senile patients with cataract and high myopia, it is better to take operations as early as possible, full preoperative examination, standardized operation and be alert to intraoperative and postoperative complications, which could bring patents better outcomes.