INTRAOCULAR PRESSURE CHANGES AFTER ND-YAG LASER CAPSULOTOMY
Abstract
Background: 28-43% of the patients develop posterior capsular thickening after extra capsular cataract surgery. Nd YAG lasercapsulotomy is a method of choice to treat this complication. Method: We conducted a prospective, clinical, randomizedcomparative study to evaluate the post YAG laser IOP rise in 54 patients at Ayub Teaching Hospital Complex. Result: There were43% male and 57% female patients with a mean age of 63.6 years. The mean time for capsular opacification was 14.6 months.Postoperative visual improvement was 6'24 to 6/6. All patients showed post laser IOP rise that was controlled by TopicalBeta-blockers and steroids effectively.References
Sinsky RM. Cain W: The posterior capsule and
phacoemulsification. J Am Intraocular Implant Soc. 1978
4
Emery JM. Wilhelmus KR. Rosenberg S Complications of
phacoemulsification. (Ophthalmology^ ’U 1978. 85:141
Apple D.I. Solomon KI). Terz MR et al posterior capsule
opacification. Surv Opthalmol 1992.37 73-116
Channel M. Beckman I. Intraocular pressure changes after
neodymium-YAG laser posterior capsulotomy 3 Arch
Opthalmol 1984; 102: 1024-6.
Ladas ID. Pavlopoulos GP, Kokolakis SN Theodossiadir G:
Prophylactic use of acetazolamide to prevent intraocular
pressure elevation following Nd YAG laser. B.J. Ophth
;77(3): 136-8.
Richter Cll. Arzeno G. Pappas HR: Prevention of IOP
elevation in YAG capsulotomy. Arch-Ophth, T 1985:103(7);
-5.
Rakofsky S. Koch DD. Faulkner JI). Terry Sa. el al
Levobunolol 0.5% and timolol 0.5% to prevent ill | elevation.
J Cat Ref. Surg. 1997; 23(7); 1075-80. -
Van der Felt/ van der Sloot D. Stilma JS. et al | Prevention of
IOP rise following Nd-YAG laser capsulotomy Doc
Ophthalmology 1988; 70(2-3) 209-14 ^
Keats RI1. Steinert RF. Puliafito CA. long term follow 1 up of
Nd-Yag laser posterior capsulotomy J-american.3 JO! implant
SOC. 1984-( 10) 164.
Pollack IP, Brown RH. Crandall AS. Robin at., et al
Prevention of rise in intraocular pressure following!
neodymium-YAG Arch Opthalmol 1988. 106(6): 754-
Aron Rosa D, Aron JJ, Greisemann J, et al Use of the
neodymium laser to open the posterior capsule after lens j
implant surgery: A preliminary report. Am Intraocular JM
Implant Soc. 1980; 6:352
