Lens replacement surgery can be suitable for some people with high myopia, especially in mid-life or later, but it needs careful assessment.
Potential benefits in high myopia
High myopia often means very thick glasses and blurred vision without them. Replacing the lens can reduce dependence on heavy spectacles and may give clearer distance vision.
- Removes strong minus lens power from your glasses prescription
- Can be combined with lenses that address astigmatism and presbyopia
- Similar technique to cataract surgery, which is well established
- May be considered when laser surgery would remove too much corneal tissue
- Helps some people feel more confident and independent
Risks that need extra discussion
Highly myopic eyes are more prone to certain problems, such as retinal tears. Your surgeon will balance these risks against the benefits before recommending surgery.
- Greater lifetime risk of retinal detachment, so retinal checks are essential
- Lens power calculations are more complex in very long eyes
- Glaucoma and macular changes are more common in high myopia
- Regular long-term monitoring remains important after surgery
- Alternative treatments, such as implantable contact lenses, may be discussed too
