J Korean Ophthalmol Soc.  2015 Nov;56(11):1706-1711. 10.3341/jkos.2015.56.11.1706.

Long-Term Follow-Up of Adverse Consequences after Nd:YAG Laser Treatment for Posterior Capsular Opacification

• Kim JS
• Park JS

• KMID: 2214178
• DOI: http://doi.org/10.3341/jkos.2015.56.11.1706

Abstract

PURPOSE
To evaluate the long-term follow-up of adverse effects after neodymium: yttrium-aluminum-garne (Nd:YAG) laser treatment for posterior capsular opacification (PCO).
METHODS
In this study, 152 patients (184 eyes) diagnosed with PCO and who received Nd:YAG laser posterior capsulotomy with at least 5 years of follow-up were retrospectively analyzed to evaluate the clinical adverse consequences after Nd:YAG laser posterior capsulotomy.
RESULTS
The mean age in the study group was 63.2 +/- 4.2 years and the mean follow-up period was 6.2 +/- 0.6 years. Vitreous floaters (8.1%) were the most common complication followed by reactive anterior uveitis (5.9%) and transient increase in intraocular pressure of more than 30 mm Hg (5.4%). Other complications included primary Nd:YAG laser failure (2.7%), recurrent lens epithelial remnant proliferation (1.6%), cystoid macular edema (1.1%), corneal edema (0.5%), retinal tear (0.5%), and rhegmatogenous retinal detachment (0.5%).
CONCLUSIONS
Although Nd:YAG laser treatment is the most effective and safe method, surgeons should be aware of the occasional complications such as recurrent lens epithelial remnant proliferation, retinal tear, and rhegmatogenous retinal detachment through long-term follow-up.

Keyword

Complications; Neodymium:YAG laser posterior capsulotomy; Posterior capsular opacification; Vitreous floaters

MeSH Terms

Corneal Edema
Follow-Up Studies*
Humans
Intraocular Pressure
Macular Edema
Neodymium
Posterior Capsulotomy
Retinal Detachment
Retinal Perforations
Retrospective Studies
Uveitis, Anterior
Neodymium

Figure

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  Figure 1. Laser posterior capsulotomy with modified circular opening.

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  Figure 2. One month after Nd:YAG laser posterior capsulotomy performed with the modified circular opening procedure. This demonstrates that the inferior portion of circular opening at 6 o'clock remains attached to the posterior capsule. Nd:YAG = neodymium: yttrium-aluminum-garne.

Reference

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