PURPOSE: To report the preliminary efficacy and safety of zero diopter (D) intraocular lens implantation in highly myopic eyes. DESIGN: Retrospective surgical case series. METHODS: Three highly myopic eyes with axial lengths greater than 30 mm were implanted with zero D Alcon model MA60MA 3-piece acrylic posterior chamber lenses at the time of cataract surgery. RESULTS: Uncorrected visual acuity improved from counting fingers to 20/20-and 20/40-in two eyes. Bestcorrected visual acuity improved from 20/80 and 20/60+to 20/20-in the same eyes. A third eye was at counting fingers before and after surgery, because of a staphyloma. The range of preoperative, intended postoperative, and achieved postoperative spherical equivalent refractive errors was-15.1 to-25.0 diopters,-0.20 to-1.44 diopters, and +0.13 to +0.50 diopters respectively. CONCLUSIONS: All eyes experienced mild hyperopic refractive errors after surgery. No retinal detachments occurred during the follow-up interval.
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