[The neodymium YAG laser and surgical discission in traumatic cataracts]

The results achieved in the treatment of secondary traumatic cataract using either Nd-YAG laser or surgical discussion in 41 patients at the Department of Ophtmhalmology, School of Medicine, University of Zagreb in the period between 1987 and 1989 are presented. Good visual acuity was achieved in 60% of the patients who were treated by Nd-YAG laser, and in 28% of those who had surgical discussion. Transitory increase of intraocular pressure measured 2 hours after Nd-YAG laser application was observed in 90% of the subjects. Transitory increase of IOP correlated negatively with the total amount of the applied laser energy. In 24 hours following surgical discussion no increase of IOP was noted. Postoperative complications of vitreous prolapse and bullous keratopathy were found in 4 patients treated by surgical discussion.