Abstract:
Aims of Study: To document the short term and long term complications of Racquet shaped Nd: YAG laser posterior capsulotomies. Study Design: Prospective observational study: Place and Duration: Department of Ophthalmology Dow University of Health Sciences, eye Unit 1, Civil Hospital Karachi from October 2005 and September 2008. Patients and methods: The study comprises 730 patients recruited from OPD, from October 2005 to September 2008, who underwent ND. YAG laser posterior capsulotomy in a Racquet shaped pattern. Abraham capsulotomy contact lens(Ocular instruments) was placed onto the eye. The aiming beam was focused on the superior capsule 1 mm inside the IOL edge. Nd:YAG laser was applied to create a racquet shaped opening in the posterior capsule. Result: In this study there were 419 males and 311 females with mean age of 61.4 year. The mean duration between cataract surgery and capsulotomy was 1.4 years. At last follow up the visual acuity improved in 86.3 % cases. Mean laser shots applied were 22.3 (SD=6.5) with a mean power 1.3 mJ SD(.04). Acute complications in first week included bleeding from iris, pitting to the IOL, hanging flap, transient rise in intraocular pressure, transient anterior chamber reaction, cystoid macular edema which resolved over a period of six months. Retinal detachment was noted in six cases after a period of at least three year follow up. Conclusion: Racquet shaped Nd:YAG laser poster capsulotomy is a safe and effective procedure which can be adopted by skilled and novice ophthalmologists without any significant harm to the patients.
Page(s):
19-21
DOI:
DOI not available
Published:
Journal: Medical Channel: Journal of Modern Dental and Medical Sciences, Volume: 19, Issue: 1, Year: 2013