VISUAL OUTCOME OF Nd-YAG LASER CAPSULOTOMY IN POSTERIOR CAPSULE OPACIFICATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 29
Abstract
BACKGROUND Cataract is the most common cause of blindness worldwide. Extracapsular Cataract Extraction (ECCE) with Posterior Chamber Intraocular Lens (PCIOL) implantation is the most popular method of cataract surgery. Posterior Capsule Opacification (PCO) is the post-operative complication, which occurs after cataract surgery. Incidence of PCO is about 18%-50%. PCO causes significant deterioration of visual acuity. Neodymium Yttrium Aluminium Garnet (Nd-YAG) laser posterior capsulotomy is the best procedure for the management of the PCO. The main aim of this study is to evaluate the visual outcome after YAG laser posterior capsulotomy. MATERIALS AND METHODS Retrospective analysis of 500 patients who presented with Posterior Capsule Opacification (PCO) after ECCE+PCIOL surgery with significant loss of visual acuity were included in the study. Postoperative period varied from 1 - 5 years; 500 patients underwent YAG laser capsulotomy. Visual acuity and intraocular pressure was recorded before and after the procedure. RESULTS The best corrected visual acuity of 6/9 – 6/6 was achieved in 328 patients (65.6%) and 6/12 – 6/18 in 163 patients (32.6%); 98% of the patients achieved improvement of visual acuity of more than 2 lines. Complications were noted in 22 patients (4.4%). Raised IOP was recorded in 14 patients (2.8%), IOL pitting was reported in 5 patients (1%) and vitreous in anterior chamber was noted in 3 patients (0.6%) after Nd-YAG laser capsulotomy. CONCLUSION Nd-YAG capsulotomy is the most effective and safe procedure in the management of PCO.
Authors and Affiliations
Gantela , Nallabantu Chowdary
Keywords
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- EP ID EP118122
- DOI 10.14260/jemds/2016/348
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