Nd: YAG laser posterior capsulotomy in eyes without IOLs

ABSTRACT

I studied 20 eyes of 18 Pakistani patients who had YAG laser capsulotomy for posterior capsule opacification following extracapsular cataract extraction without intraocular lens implantation. Fifteen [75%] eyes showed visual improvement by at least two Snellen lines, four [20%] had no change in visual acuity, and one [5%] further lost sight due to cystoid macular edema. Transient intraocular pressure elevation [4-15 mm Hg] following laser capsulotomy occurred in 12 [60%] of the eyes, anterior uveitis in 8 [40%], iris bleeding in 1 [5%], and ruptured anterior vitreous face in 9 [45%] eyes. The elevated intraocular pressure and uveitis permanently resolved either spontaneously or following a short course of appropriate treatment for each