Refractive Changes After Nd:YAG Capsulotomy in Pseudophakic Eyes.
Majid Moshirfar1,2,3, Noor F Basharat4, Tanner S Seitz5
1Hoopes Vision Research Center, Hoopes Vision, Draper, UT, 84020, USA.
Clinical Ophthalmology (Auckland, N.Z.)
|January 16, 2023
Summary
Neodymium: yttrium-aluminum-garnet (Nd:YAG) posterior capsulotomy improved visual acuity and reduced astigmatism in pseudophakic eyes. Refractive parameters remained stable post-procedure, irrespective of intraocular lens type.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Intraocular Lenses
Background:
- Posterior capsule opacification is a common complication after cataract surgery.
- Nd:YAG posterior capsulotomy is a standard procedure to restore visual clarity.
Purpose of the Study:
- To evaluate refractive changes following Nd:YAG posterior capsulotomy in pseudophakic eyes.
- To assess the impact of different intraocular lens (IOL) types on refractive outcomes.
Main Methods:
- Retrospective analysis of 683 eyes from 548 patients who underwent Nd:YAG capsulotomy.
- Comparison of pre- and post-operative refractive parameters (sphere, cylinder, SE, axis, CDVA) at one month and one year.
- Stratification of eyes based on IOL type: single-piece, three-piece, and light-adjustable lenses (LALs).
Main Results:
- Significant reduction in cylinder and improvement in corrected distance visual acuity (CDVA) were observed post-Nd:YAG capsulotomy.
- No significant changes in sphere or axis were detected.
- CDVA improved significantly in eyes with single-piece and three-piece IOLs, but not in the LAL group.
Conclusions:
- Nd:YAG posterior capsulotomy effectively improves CDVA and reduces astigmatism in pseudophakic eyes.
- Refractive outcomes are generally stable after the procedure.
- Intraocular lens type does not appear to influence refractive results post-capsulotomy.
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