RESUMO
Capsulotomy with neodymium-doped yttriumaluminum-garnet (Nd:YAG) laser is an effective treatment for posterior capsule opacification following cataract surgery. A wide opening of the posterior capsule associated with the ruptured anterior hyaloid can cause anterior chamber vitreous prolapse. Two patients who developed angle-closure glaucoma associated with vitreous prolapse following Nd:YAG laser posterior capsulotomy were successfully treated with antiglaucoma medication and peripheral iridotomies. Patient identification for potential risk factors and a careful postoperative follow-up are essential to avoid these serious complications.
Assuntos
Opacificação da Cápsula , Extração de Catarata , Glaucoma de Ângulo Fechado , Terapia a Laser , Lasers de Estado Sólido , Cápsula do Cristalino , Humanos , Cápsula do Cristalino/cirurgia , Neodímio , Glaucoma de Ângulo Fechado/etiologia , Glaucoma de Ângulo Fechado/cirurgia , Capsulotomia Posterior , Ítrio , Extração de Catarata/efeitos adversos , Prolapso , Terapia a Laser/efeitos adversos , Complicações Pós-Operatórias/etiologia , Lasers de Estado Sólido/efeitos adversosRESUMO
ABSTRACT Capsulotomy with neodymium-doped yttrium--aluminum-garnet (Nd:YAG) laser is an effective treatment for posterior capsule opacification following cataract surgery. A wide opening of the posterior capsule associated with the ruptured anterior hyaloid can cause anterior chamber vitreous prolapse. Two patients who developed angle-closure glaucoma associated with vitreous prolapse following Nd:YAG laser posterior capsulotomy were successfully treated with antiglaucoma medication and peripheral iridotomies. Patient identification for potential risk factors and a careful postoperative follow-up are essential to avoid these serious complications.
