Abstract:  Cataract surgery with high myopia is complex cataract surgery, which is difficult and risky, and is more prone to intraoperative and postoperative complications such as posterior capsule rupture and retinal detachment. Femtosecond laser-assisted cataract surgery have further improved the surgical accuracy, safety, and efficacy. Pathological changes in the anatomical structure and intraocular microenvironment of high myopic eyes affect the accuracy of the intraocular lens (IOL) calculation formula and the stability of the IOL. The fifth-generation Barrett Universal II formula has proven to be more accurate in patients with high myopia, and the vertically placed one-piece plate-haptic IOL is more stable in the capsular bag and suitable for cataract patients with high myopia.  (Int Rev Ophthalmol, 2023, 47:  524-530)

Key words: cataract/surgery, high myopia, intraocular lens