Objective: To evaluate visual outcome following cataract surgery in axial myopes.

Methodology: In this prospective study 49 patients with axial myopia i.e, axial length >25mm were included. 49 eyes underwent lens extraction with Posterior chamber intraocular lens implantion (Small incision cataract surgery and phacoemulsification). Complete ophthalmic examination with slit lamp examination fundus examination were performed preoperatively. B scan was done in patients whose fundus had no glow to rule out posterior staphyloma.  Biometry calculation was performed using SRK/T formula. Postoperatively visual outcome in terms of snellen’s acuity was performed.

Results: The mean age of patient operated was about 52. The study included 9 patients with nuclear cataract, 9 with mature cataracts, 10 with brown cataract and 21 with posterior sub capsular cataract which was common type of cataract. 71% subjects had 6/6 vision post cataract surgery. Intraoperatively no significant complications were noted.

Conclusion: Satisfactory snellen’s visual acuity was achieved in in patients with axial myopes following cataract surgery. And also both visual and refractive problems in patients with cataracts and high myopia is solved.