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Pediatric Nd:YAG laser capsulotomy in the operating room: review of 87 cases

Michael Kinori1, Narasimhan Jagannathan2, Anne M Langguth3,4

  • 1The Goldschleger Eye Institute, Sheba Medical Center, Tel HaShomer, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 52621, Israel.

International Journal of Ophthalmology
|May 28, 2019
PubMed

Insights

The lateral decubitus position is a safe and effective method for performing neodymium:YAG (Nd:YAG) laser capsulotomy in children. This approach avoids complications associated with other positions, ensuring successful outcomes.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Posterior capsule opacification is a common complication after pediatric cataract surgery.
  • Neodymium:YAG (Nd:YAG) laser capsulotomy is a standard procedure to address this.
  • Previous methods for Nd:YAG capsulotomy in children carried risks.

Purpose of the Study:

  • To evaluate the safety and efficacy of Nd:YAG laser capsulotomy in children using the lateral decubitus position.
  • To report outcomes from a large series of pediatric patients.

Main Methods:

  • Retrospective review of medical records of pediatric patients (ages 1-18) who underwent Nd:YAG laser capsulotomy.
  • Procedure performed in the operating room with patients in the lateral decubitus position under general anesthesia.
  • Standard Nd:YAG laser protocol followed.

Main Results:

  • 87 eyes of 60 pediatric patients included.
  • Procedure performed successfully in all cases with good focus on the membrane.
  • No intraoperative ocular or anesthesia-related complications reported.

Conclusions:

  • The lateral decubitus position is a safe and effective approach for pediatric Nd:YAG laser capsulotomy in the operating room.
  • This position minimizes risks compared to sitting or prone positions.
  • Facilitates an easy and safe surgical approach.
Abstract

Keywords:
YAG capsulotomygeneral anesthesiapediatric cataractposterior capsular opacification

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