This paper is devoted to studying phacosurgery results in 149 patients with myopia (256 eyes) with different values of axial size of the eye. It was found that presence of high axial myopia requires an individual approach to the surgical treatment: prevention of retinal edema in the macula after phacoemulsification, conducting preventive transconjunctival cryoretinopexy before phacosurgery in eye axial size more than 26 mm, carrying out of the anterior circular capsulorhexis taking into account anatomical features of the anterior line of the myopic eyes.