Cystoid macular oedema following neodymium: YAG laser capsulotomy a prospective study

Bukelman, Amir; Abrahami, Simon; Oliver, M; Pollack, Ayala

doi:10.1038/eye.1992.5

Cited by 13 publications

(5 citation statements)

References 18 publications

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“…In these studies, the rate of CME following Nd:YAG laser capsulotomy was reported as 0 to 5.6% [8,19,20]. In our study, there were no significant changes in macular thickness following Nd:YAG laser capsulotomy for 6 months (P [ 0.05).…”

Section: Discussioncontrasting

confidence: 39%

Which procedure has more effect on macular thickness: primary posterior continuous capsulorhexis (PPCC) combined with phacoemulsification or Nd:YAG laser capsulotomy?

et al. 2011

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To compare the effect of Nd:YAG laser capsulotomy and primary posterior continuous capsulorhexis (PPCC) combined with phacoemulsification on macular thickness using optical coherence tomography (OCT) in adults. This prospective comparative interventional study included 32 eyes of 30 patients who underwent Nd:YAG laser capsulotomy and 33 eyes of 33 patients who underwent cataract surgery with PPCC. Detailed ocular examinations, including macular thickness measurements by OCT, were performed in all patients preoperatively and postoperatively on the 1st day, 1st week, and 1st, 3rd and 6th months. No significant differences were found in macular thickness between the two groups in preoperative and postoperative follow-up. No cystoid changes were observed in OCT during the postoperative period in both groups. Nd:YAG laser capsulotomy and PPCC combined with cataract surgery are safe and effective procedures that are not associated with an increase in macular thickness.

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Section: Discussioncontrasting

confidence: 39%

Which procedure has more effect on macular thickness: primary posterior continuous capsulorhexis (PPCC) combined with phacoemulsification or Nd:YAG laser capsulotomy?

et al. 2011

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“…15 It has been suggested that longer the interval between cataract surgery and capsulotomy, the smaller the risk of retinal complication. 16 Retinal detachment and cystoid macular edema may develop many months after capsulotomy therefore patients undergoing YAG laser capsulotomy require long term follow up to detect and treat these serious complications.…”

Section: Discussionmentioning

confidence: 99%

Review Of 560 Cases Of Yag Laser Capsulotomy

2007

J Liaquat Uni Med Health Sci

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OBJECTIVE: To review the pattern of different types of posterior capsular opacification and relative frequency of complications after YAG laser capsulotomy. DESIGN: Descriptive case series. SETTING: Ziauddin Medical University and Dr. Akil Bin Abdul Kadir Welfare Eye Hospital, Karachi from May 2002 to June 2004. PATIENTS AND METHODS: Five hundred and sixty patients were treated for capsular opacification with Neodymium YAG (Nd: YAG) laser during study period. All procedures were done on Ziess Visual YAG II Plus. RESULTS: After capsulotomy, the visual acuity improved in 526 patients (93.92%) and no improvement was seen in 34(6.08%) patients. Out of 560 patients, 314(56.07%) patients presented with Elschnig Pearls, 237(42.33%) had capsular fibrosis and 9(1.60%) had capsular wrinkling. The main complications were temporary increase in intraocular pressure (5 mm Hg or more) and mild anterior uveitis. However, these complications were found to be transient in nature, with most of these patients settling down during first week of their treatment. Four patients developed retinal detachment, eight showed long term elevation of intraocular pressure and 2 developed cystoid macular edema. CONCLUSION: Nd: YAG laser is an effective and safe method for the management of posterior capsular opacification.

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“…13,14 The avoidance of potential surgical complications such as endophthalmitis, and the shorter postoperative recovery has made the Nd: YAG laser capsulotomy a widespread and popular approach for treatment of PCO. In Nd: YAG laser posterior capsulotomy, some complications have been reported such as increased intraocular pressure (IOP), [15][16][17][18][19][20][21] cystoids macular edema, 18,[22][23][24] retinal detachment 22,[24][25][26] , endophthalmitis, 14,16,18,22,23 anterior vitreous opacification and destruction 26,27 , IOL damage and decentration, 15,18,28,29 posterior subluxation of IOL into vitreous cavity 30 and lowering of endothelial cell count of the cornea 31 , as well as macular hemorrhage. 32 Complications are infrequent but very severe, having great impact on visual acuity.…”

Section: Introductionmentioning

confidence: 99%

Experience of Nd: Yag Laser Posterior Capsultomy on Various Body Lumps

2007

j liaquat uni med health sci

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BACKGROUND/ OBJECTIVES: Posterior capsular opacification (PCO) is the commonest cause of glare and reduced visual acuity after cataract surgery. The Nd: YAG Laser is the alternate to surgical treatment for capsulotomy. To determine the time period of development of PCO, the complications of Nd: YAG laser during capsulotomy and post laser best corrected visual acuity, this study was carried out. SETTING: METHODS: Five hundred pseudophakic eyes of 500 patients older than 15 years having PCO with decreased best corrected Visual Acuity (VA) of two or more Snellen's chart line and met the inclusion and exclusion criteria were selected from out patients department for Nd: YAG laser capsulotomy. Before laser treatment, the VA was assessed and all patients were examined on slit lamp for IOP and to rule out the causes for reduced vision other than PCO. Then 2-3 mm size capsulotomy was done with Q-switched Nd: YAG Laser, with Abraham's posterior capsulotomy lens, after topical anesthesia, by using minimum amount of energy and fewest numbers of pulses. Patients were followed for assessment of best corrected VA and for possible complications just after laser and at the end of 1 st week, 2 nd week and the 4 th week. The post-laser treatment was advised in accordance with complications to each patient. RESULTS: Of the five hundred eyes, 230 (46.0%) belonged to male sex and 270 (54.0%) females. The majority of patients i.e. 230 eyes (46%) had PCO between 3 to 12 months postoperatively. The mean period between cataract surgery and Nd: YAG laser capsulotomy was 2.06 years. The types of PCO were fibrosis in 339 (67.8%) eyes, Elschnig pearls in 102 (20.4%) eyes and wrinkling in 59 (11.8%) eyes. Pre-laser visual acuity was CF-6/60 in 262 (52.4%) eyes, 6/36-6/24 in 140 (28.0%) eyes and 6/18-6/12 in 98 (19.6%) eyes. Post-laser VA was improved to 6/9-6/6 in 372 (74.4%) eyes. Out of 500 patients, 40 (8.0%) eyes developed the complications due to YAG laser which included IOL pitting in 27 (5.40%) eyes, raised IOP in 04 (0.80%), uveitis in 03 (0.60%), iris bleeding (hyphema) in 03 (0.60%), vitreous in anterior chamber in 02 (0.40%), and cystoids macular edema (CME) in 01(0.20%) eye. None of the eye developed sight threatening complications like retinal detachment or macular hole. The 128 (25.6%) eyes did not achieve the significant improvement because of pre-existing pathology in the posterior segment that was not diagnosed at the time of screening due to thick PCO. CONCLUSION: Nd: YAG laser capsulotomy is effective and convenient method for doing capsulotomy in all types of PCO. It is free from the risk of endophthalmitis found in surgical capsulotomy.

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Cystoid macular oedema following neodymium: YAG laser capsulotomy a prospective study

Cited by 13 publications

References 18 publications

Which procedure has more effect on macular thickness: primary posterior continuous capsulorhexis (PPCC) combined with phacoemulsification or Nd:YAG laser capsulotomy?

Which procedure has more effect on macular thickness: primary posterior continuous capsulorhexis (PPCC) combined with phacoemulsification or Nd:YAG laser capsulotomy?

Review Of 560 Cases Of Yag Laser Capsulotomy

Experience of Nd: Yag Laser Posterior Capsultomy on Various Body Lumps

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