Acute macular hole and retinal detachment in highly myopic eyes after neodymium:YAG laser capsulotomy

Abstract

We report 2 cases of acute onset of macular hole and retinal detachment (MHRD) in highly myopic eyes after uneventful neodymium:YAG (Nd:YAG) laser posterior capsulotomy. Case 1 was a 76-year-old highly myopic woman who had decreased vision 4 days after Nd:YAG capsulotomy. Macular hole and retinal detachment were detected, and vitrectomy was performed. Case 2 was a 62-year-old highly myopic woman who reported visual loss 1 week after Nd:YAG capsulotomy. Macular hole and retinal detachment were detected, and vitrectomy was performed and the retina reattached. The developmental mechanisms of MHRD after Nd:YAG capsulotomy are discussed.

Secondary macular holes: when to jump in and when to stay out

“…However even during a posterior capsulotomy, the energy is delivered in short time pulse and very high peak powers up to hundreds of megawatts can be generated, resulting in distant tissue disruption at macular level by the photomechanical shock wave [16]. The tissue disruption is more likely when the macula is compromised by pathological myopia and retinoschisis (see under 'Myopia') [17]. The SMH develops within 2-4 days.…”

Robotic posterior capsule polishing by optical coherence tomography image guidance

“…The primary cause of PCO is the proliferation and migration of residual lens epithelial cells onto the posterior capsule 4 . Nd:YAG laser posterior capsulotomy is the most frequently performed treatment for PCO but presents vision‐related complications including macular oedema, increased intraocular pressure and retinal detachment 5–7 …”

Incidence of primary peripheral posterior capsular opacification after cataract surgery and posterior capsular opacification in the patients implanted with foldable intraocular lenses

“…While NYLPC is the treatment of choice for posterior capsular opacification (PCO), it can be associated with retinal complications ( Sakimoto , 2008). Intraocular inflammation and rise of intraocular pressure have also been reported after NYLPC ( Ronbeck, 2009).…”