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Related Experiment Videos

Retinal detachment following Nd:YAG capsulotomy.

J S Ambler1, I J Constable

  • 1Lions Eye Institute of Western Australia.

Australian and New Zealand Journal of Ophthalmology
|November 1, 1988
PubMed
Summary

Nd:YAG capsulotomy for secondary posterior capsule opacification may increase retinal detachment risk. Most detachments occurred within six months post-procedure, likely due to vitreous changes after the posterior capsule is no longer intact.

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Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Cataract Surgery

Background:

  • Secondary posterior capsule opacification is a common complication after extracapsular cataract surgery.
  • Nd:YAG capsulotomy is a standard procedure to treat posterior capsule opacification.

Purpose of the Study:

  • To determine the prevalence of retinal detachment following Nd:YAG capsulotomy.
  • To analyze the timing of retinal detachment after Nd:YAG capsulotomy.

Main Methods:

  • Retrospective study of 862 patients.
  • Patients underwent Nd:YAG capsulotomy for secondary posterior capsule opacification.
  • Minimum follow-up of six months.

Main Results:

  • The prevalence of retinal detachment was 1.4%.
  • 38% of detachments occurred within two months post-capsulotomy.
  • 69% of detachments occurred within six months post-capsulotomy.

Conclusions:

  • Nd:YAG capsulotomy is associated with an increased risk of retinal detachment.
  • Retinal detachment risk is highest in the early period following capsulotomy.
  • Vitreous changes, resulting from an open posterior capsule, are the likely cause of increased retinal detachment prevalence.

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