Effect of Nd:YAG laser in the management of posterior capsulotomy after extracapsular cataract extraction
Journal Title: International Journal of Medical Science and Public Health - Year 2018, Vol 7, Issue 1
Abstract
Background: Posterior capsular opacification and other related complications are naturally associated long-term complications of extracapsular cataract extraction (ECCE). Neodymium:Yttrium aluminum garnet (Nd:YAG) laser is an effective treatment for posterior capsulotomy. Objectives: To assess the effects and complication on visual acuity following Nd:YAG laser posterior capsulotomy after ECCE with or without intraocular lens (IOL) implantation. Materials and Methods: A total of 100 patients in between 15 and 85 years age group with significant complications after performing pre-laser assessment were subjected to laser treatment. The treatment is done as an outpatient procedure using VISUALS YAG-II Q-switched Nd:YAG laser. Post-laser treatment follow-up was done after 24 h, 1 week, 1 month, and 6 months interval for the improvement in visual acuity and to detect complications. Results: Pre-laser visual acuity was <6/60 in 61 patients, 6/24–6/60 in 29 patients, and in 10 patients it was 6/18–6/24. Post-operative mild iritis was seen in 3 cases, glare in 3 cases, vitreous floater in 4 cases, and pitting over IOL in 6 cases. Other associated complications such as cystoid macular edema, endophthalmitis, rhegmatogenous retinal detachment, and hyphema were not observed in present study. Conclusion: Among total cases, 93% cases had improvement in their best-corrected visual acuity. Nd:YAG laser capsulotomy has minimal complications and is a safe and effective treatment procedure for complications associated with ECCE. The results indicate that Nd:YAG laser posterior capsulotomies performed safe, effective, and carry a low-associated complication rate.
Authors and Affiliations
Manjula Mangane, Vishwanath Reddy, Rajashree Reddy
Keywords
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- EP ID EP445275
- DOI 10.5455/ijmsph.2018.1029408112017
- Views 88
- Downloads 0
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