Neovascular Glaucoma Following Neodymium-YAG Laser Posterior Capsulotomy

Weinreb, Robert N.; Wasserstrom, Jeffrey P.; Parker, William T.

doi:10.1001/archopht.1986.01050170120035

Cited by 44 publications

(8 citation statements)

References 11 publications

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“…NVI has been reported to regress spontaneously in up to 26% of cases associated with DR [26]. Surgical procedures in diabetics that disrupt the anterior hyaloid or posterior capsule increase the risk for the development of anterior-segment NV (including cataract surgery and posterior capsulotomy) [27]. These structures are considered barriers to the diffusion of angiogenic factors from the posterior segment.…”

Section: Diabetic Retinopathymentioning

confidence: 99%

Neovascular Glaucoma

Havens

Gulati²

2015

Developments in Ophthalmology

110

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Neovascular glaucoma (NVG) is a secondary ocular pathological condition resulting from a myriad of ocular and systemic conditions with retinal ischemia as a mediator in over 95% of cases. NVG is caused by the growth of a fibrovascular membrane secondary to a local angiogenic stimulus over the trabecular meshwork obstructing aqueous outflow. This results in an initial secondary open-angle glaucoma stage that may be amenable to intraocular pressure (IOP)-lowering medications and modulation of the underlying ischemic process, often in combination with panretinal photocoagulation and adjunctive use of vascular endothelial growth factor inhibitors. In the more advanced stages of neovascularization, connective tissue myofibroblasts associated with new vessel growth contract causing progressive synechial closure of the anterior-chamber angle. Elevation of IOP, once significant secondary angle closure is established, tends to be refractory to topical and oral IOP-lowering medications and often requires glaucoma surgical interventions.

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Section: Diabetic Retinopathymentioning

confidence: 99%

Neovascular Glaucoma

Havens

Gulati²

2015

Developments in Ophthalmology

110

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“…Capsulotomy increases the risk of NVG in diabetic eyes [242526]. A retrospective review has shown that NVG develops more often in diabetic eyes that have undergone extracapsular cataract extraction with capsulotomy than in those without capsulotomy [24].…”

Section: Discussionmentioning

confidence: 99%

“…A retrospective review has shown that NVG develops more often in diabetic eyes that have undergone extracapsular cataract extraction with capsulotomy than in those without capsulotomy [24]. Weinreb et al [25] reported that NVG occurred after capsulotomy in three diabetic patients who had undergone panretinal photocoagulation before uncomplicated extracapsular cataract extraction.…”

Section: Discussionmentioning

confidence: 99%

Neovascular glaucoma following Nd:YAG laser capsulotomy in a patient with diabetes and syphilitic uveitis

Lin

Lee

2016

Tzu Chi Medical Journal

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A diabetic woman had been suffering from progressively blurry vision in the right eye for 1 year after cataract surgery. Slit lamp examination revealed bilateral band keratopathy with quiescent anteriorchamber reaction, an intumescent cataract in the left eye, and dense posterior capsular opacity in the right eye. Capsulotomy was performed, but this led to neovascular glaucoma. Because of a refractory elevation in intraocular pressure, trabeculectomy with mitomycin C treatment, vitrectomy with panretinal photocoagulation, and intravitreal injection of bevacizumab were performed. A positive rapid plasma reagin test and a positive Treponema pallidum hemagglutination assay led to the impression of syphilitic uveitis, and the patient was treated with intravenous penicillin for 2 weeks. The visual acuity of the right eye was 0.1 at the 12th-month follow up. This case shows that neovascular glaucoma may present as a complication of capsulotomy in uveitic/diabetic eyes.

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“…[3] Other limitations of Nd-YAG laser capsulotomy include its inability to restore complete visualization of the peripheral retina, [4] and the potential to increase the risk of neovascular glaucoma in diabetic patients. [5] Modern cataract surgery is now approaching the realm of refractive surgery. Patients expect perfect results, often with emmetropia.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Nd

et al. 2017

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The aim of the study is to compare Nd:YAG capsulotomy rate between acrylic 1- and 3-piece intraocular lenses. Among 924 eyes of 762 patients who received cataract surgery, we selected the 303 patients (404 eyes) implanted with an SN60WF 1-piece intraocular lens (Alcon, Fort Worth, TX) or a YA-60BBR 3-piece intraocular lens (Hoya Co., Tokyo, Japan). For intraindividual comparison, we enrolled the 17 patients implanted with an SN60WF in 1 eye and a YA-60BBR in the contralateral eye. We compared Nd:YAG capsulotomy rate between acrylic 1- and 3-piece intraocular lenses 24 months after the operation. Of the 404 eyes in this study, Nd:YAG capsulotomy was performed in 20 of 268 eyes (7.5%) in the SN60WF 1-piece intraocular lens group and 24 of 136 eyes (17.6%) in the YA-60BBR 3-piece intraocular lens group; the difference was statistically significant (P = .002). Among the 17 patients (34 eyes) who were implanted with 2 different inraocular lenses, Nd:YAG capsulotomy was performed in only 2 eyes (12%) in the SN60WF group and 9 eyes (53%) in the YA-60BBR group; the difference was statistically significant (P = .020).The authors found a significantly greater incidence of Nd:YAG capsulotomy in eyes who received 3-piece lenses compared with those who received 1-piece lenses.

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Neovascular Glaucoma Following Neodymium-YAG Laser Posterior Capsulotomy

Cited by 44 publications

References 11 publications

Neovascular Glaucoma

Neovascular Glaucoma

Neovascular glaucoma following Nd:YAG laser capsulotomy in a patient with diabetes and syphilitic uveitis

Comparison of Nd

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