Background: Cataract extraction by phacoemulsification plus intraocular lens (IOL) implant is the most used treatment against the main cause of reversible blindness in the world; the cataract. It is a very successful procedure due to its low frequency of complications and its high reproducibility. However, patients with high axial myopia do not behave in this way and tend to present more complications.Objective: to determine the frequency of complications in patients with high axial myopia and cataract, who underwent cataract extraction by phacoemulsification.Study design: observational descriptive.Method: 107 eyes of patients with high axial myopia were included. All underwent cataract extraction by phacoemulsification plus IOL implantation, in 2015. A review of clinical histories and surgical descriptions of all patients was performed to determine the frequency of complications during a follow-up time of one year after surgery.Results: 2 eyes presented posterior capsule rupture (1.8%). Two other eyes presented zonular dialysis (1.8%) and 3 eyes had vitreous loss (2.7%). During the first postoperative year of follow-up, retinal detachment was observed in 1 eye (0.9%). No cases of IOL dislocation to the anterior chamber were reported.Conclusion: The frequency of complications in this population is similar to the one reported in other studies and even lower in some variables such as posterior capsule rupture and retinal detachment.