An Overview of Nd:YAG Laser Capsulotomy

Eyyup Karahan, Duygu Er, Suleyman Kaynak

Abstract


Nd:YAG laser capsulotomy is accepted as standard treatment for posterior capsule opacification (PCO). Although, Nd:YAG laser capsulotomy is a noninvasive and safe treatment it carries risk of some complications. Using less total energy and performing smaller capsulotomies are effective choices to decrease complications after Nd:YAG capsulotomy.

References


Wormstone IM. Posterior capsule opacification: a cell biological perspective. Exp Eye Res 2002;74:337-347.

Nakazawa M, Ohtsuki K. Apparent accommodation in pseudophakic eyes after implantation of posterior chamber intraocular lenses. Am J Ophthalmol. 1983 Oct;96(4):435-8. PMID: 6624824

Aron-Rosa D, Aron JJ, Griesemann M, Thyzel R: Use of the neodymium-YAG laser to open the posterior capsule after lens implant surgery: a preliminary report. J Am Intraocul Implant Soc. 1980 Oct;6(4):352-4. PMID: 7440377

Fankhauser F, Roussel P, Steffen J: Clinical studies on the efficiency of high power laser radiation upon some structures of the anterior segment of the eye. First experiences of the treatment of some pathological conditions of the anterior segment of the human eye by means of a Qswitched. Int Ophthalmol. 1981 May;3(3):129-39. PMID: 7196390

Shah GR, Gills JP, Durham DG, Ausmus WH. Three thousand YAG lasers in posterior capsulotomies: an analysis of complications and comparison to polishing and surgical discission. Ophthalmic Surg. 1986 Aug;17(8):473-7. PMID: 3748538

Chambless WS. Neodymium: YAG laser posterior capsulotomy results and complications. J Am Intraocul Implant Soc. 1985 Jan;11(1):31-2. PMID: 3838167

Gardner KM, Straatsma BR, Pettit TH. Neodymium:YAG laser posterior capsulotomy: the first 100 cases at UCLA. Ophthalmic Surg. 1985 Jan;16(1):24-8. PMID: 3838376

Stark WJ, Worthen D, Holladay JT, Murray G. Neodymium:YAG lasers. An FDA report. Ophthalmology. 1985 Feb;92(2):209-12. PMID: 3982799

Wasserman EL, Axt JC, Sheets JH. Neodymium:YAG laser posterior capsulotomy. J Am Intraocul Implant Soc. 1985 May;11(3):245-8. PMID: 4008310

Magno BV, Datiles MB, Lasa MS, Fajardo MR, Caruso RC, Kaiser- Kupfer MI. Evaluation of visualfunction following neodymium:YAG laser posterior capsulotomy. Ophthalmology. 1997 Aug;104(8):1287-93. PMID: 9261315

Sunderraj P, Villada JR, Joyce PW, Watson A. Glare testing in pseudophakes with posterior capsule opacification. Eye (Lond). 1992;6 ( Pt 4):411-3. PMID: 1478316

Tan JC, Spalton DJ, Arden GB. The effect of neodymium: YAG capsulotomy on contrast sensitivity and the evaluation of methods for its assessment. Ophthalmology. 1999 Apr;106(4):703-9. PMID: 10201590

Keates RH, Steinert RF, Puliafito CA, Maxwell SK. Long-term follow-up of Nd:YAG laser posterior capsulotomy. J Am Intraocul Implant Soc. 1984 Spring;10(2):164-8. PMID: 6547424

Ambler JS, Constable IJ. Retinal detachment following capsulotomy. Aust N Z J Ophthalmol. 1988 Nov;16(4):337-41. PMID: 3248183

Bath PE, Fankhauser F. Long-term results of Nd:YAG laser posterior capsulotomy with the Swiss laser. J Cataract Refract Surg. 1986 Mar;12(2):150-3. PMID: 3754577

Billotte C, Berdeaux G. Adverse clinical consequences of neodymium:YAG laser treatment of posterior capsule opacification. J Cataract Refract Surg. 2004 Oct;30(10):2064-71. PMID: 15474815

Karahan E, Tuncer I, Zengin MO. The Effect of ND:YAG Laser Posterior Capsulotomy Size on Refraction, Intraocular Pressure, and Macular Thickness. J Ophthalmol. 2014;2014:846385. doi: 10.1155/2014/846385. PMID: 24724016

Ari S, Cingu AK, Sahin A, inar YC, and Caca I. The effects of Nd:YAG laser posterior capsulotomy on macular thickness, intraocular pressure, and visual acuity. Ophthalmic Surg Lasers Imaging. 2012 Sep-Oct;43(5):395-400. doi: 10.3928/15428877-20120705-03. PMID: 22785102

Steinert RF, Puliafito CA, Kumar SR, Dudak SD, Patel S. Cystoid macular edema, retinal detachment, and glaucoma after Nd:YAG laser posterior capsulotomy Am J Ophthalmol. 1991 Oct 15;112(4):373-80. PMID: 1928237

Framme C, Hoerauf H, Roider J, Laqua H: Delayed intraocular lens dislocation after neodymium:YAG capsulotomy. J Cataract Refract Surg. 1998 Nov;24(11):1541-3. PMID: 9818350

Levy JH, Pisacano AM, Anello RD: Displacement of bagplaced hydrogel lenses into the vitreous following neodymium: YAG laser capsulotomy. J Cataract Refract Surg. 1990 Sep;16(5):563-6. PMID: 2231370

Maguire AM, Blumenkranz MS, Ward TG, Winkelman JZ: Scleral loop fixation for posteriorly dislocated intraocular lenses. Arch Ophthalmol. 1991 Dec;109(12):1754-8. PMID: 1841589

Schneiderman TE, Johnson MW, Smiddy WE: Surgical management of posteriorly dislocated silicone plate haptic intraocular lenses. Am J Ophthalmol. 1997 May;123(5):629-35. PMID: 9152068

Shakin EP, Carty JB Jr.: Clinical management of posterior chamber intraocular lens implants dislocated in the vitreous cavity. Ophthalmic Surg Lasers. 1995 Nov-Dec;26(6):529-34. PMID: 8746574

Findl O,Drexler W, Menapace R et al. Changes in intraocular lens position after neodynamium: YAG capsulotomy. Ophthalmic Surg Lasers. 1995 Nov-Dec;26(6):529-34. PMID: 8746574

Thornval P, Naeser K. Refraction and anterior chamber depth before and after neodymium:YAG laser treatment for posterior capsule opacification in pseudophakic eyes: a prospective study. J Cataract Refract Surg. 1995 Jul;21(4):457-60. PMID: 8523294

Zaidi M, Askari NS. Effect of Nd:YAG laser posterior capsulotomy on anterior chamber depth, Intraocular pressure, and refractive status. J Cataract Refract Surg. 2000 Aug;26(8):1183-9. PMID: 11008046

Hasan KS, Adhi MI, Aziz M, et al. Nd:YAG Laser Posterior Capsulotomy. Pak J Ophthalmol. 1996;12: 3-7.

Harris WS, Herman WK, Fagadau WR. Management of the posterior capsule before and after the YAG laser. Trans Ophthalmol Soc U K. 1985;104 ( Pt 5):533-5. PMID: 3863342

Ficker LA, Steel AD. Complications of Nd: YAG laser posterior capsulotomy. Trans Ophthalmol Soc U K. 1985;104 ( Pt 5):529-32. PMID: 3863341

Mahtab Alam Khanzada, Shafi Muhammad Jatoi, Ashok Kumar Narsani, Syed Asher Dabir, Siddiqa Gul. Is the Nd: YAG Laser a Safe Procedure for Posterior Capsulotomy?. Pak J Ophthalmol 2008;24.73-78.

Gore VS. The study of complications of Nd:YAG laser capsulotomy. Klin Monbl Augenheilkd. 1994 May;204(5):286-7. PMID: 8051851

Kraff MC, Sanders DR, Lieberman HL. Intraocular pressure and the corneal endothelium after neodymium-YAG laser posterior capsulotomy. Relative effects of aphakia and pseudophakia. Arch Ophthalmol. 1985 Apr;103(4):511-4. PMID: 3985828

Vine AK. Ocular hypertension following Nd-YAG Laser Capsulotomy: A potentially blinding complication. Ophthalmic Surg. 1984 Apr;15(4):283-4. PMID: 6547221

Parker MD, Clofeine GS, Stocklin RD. Marked intraocular prressure rise following Nd-YAG laser capsulotomy. Ophthalmic Surg. 1984 Feb;15(2):103-4. PMID: 6546789

Ruderman JM, Mitchell PG, Kraff M. Pupillary block following Nd-YAG laser capsulotomy. Ophthalmic Surg. 1983 May;14(5):418-9. PMID: 6877743

MacEwen CJ, Dutton GN, Holding D. Angle closure following Neodymium-YAG (Nd-YAG) laser capsulotomy in the Aphakic Eye. Br J Ophthalmol. 1985 Oct;69(10):795-6. PMID: 3840385

Minello AAP, Prata JA, de Arruda Mello PA. Efficacy of topic ocular hipotensive agents after posterior capsulotomy. Arquivos Brasileiros de Oftalmologia. 2008;5:706–710.

Lin JC, Katz LJ, Spaeth GL, Klancnik JM. Intraocular pressure control after Nd: YAG laser posterior capsulotomy in eyes with glaucoma. Arq Bras Oftalmol. 2008 Sep-Oct;71(5):706-10. PMID: 19039468

Ge J, Wand M, Chiang R, Paranhos A, Shields B. Long termeffect of Nd : YAG laser posterior capsulotomy on intraocular pressure. Arch Ophthalmol. 2000 Oct;118(10):1334-7. PMID: 11030814

Shani L, David R, Tessler Z, Rosen S, Schneck M, Yassur Y. Intraocular pressure after neodymium: YAG laser treatments in the anterior segment J Cataract Refract Surg. 1994 Jul;20(4):455-8. PMID: 7932138

Murrill CA, Stanfield DL, Van Brocklin MD: Capsulotomy. Optom Clin. 1995;4(4):69-83. PMID: 7488799

Henderson BA, Kim JY, Ament CS, et al. Clinical pseudophakic cystoid macular edema: Risk factors for development and duration after treatment. J Cataract Refract Surg. 2007 Sep;33(9):1550-8. PMID: 17720069

Bukelman A, Abrahami S, Oliver M, Pollack A. Cystoid macular oedema following neodymium:YAG laser capsulotomy: A prospective study. Eye (Lond). 1992;6 ( Pt 1):35-8. PMID: 1426396

Albert DW, Wade EC, Parrish 2nd RK, et al. A prospective study of angiographic cystoid macular edema one year after Nd: YAG posterior capsulotomy. Ann Ophthalmol. 1990 Apr;22(4):139-43. PMID: 2350122

Altiparmak UE, Ersoz I, Hazirolan D, et al. The impact of Nd:YAG capsulotomy on foveal thickness measurement by optical coherence tomography. Ophthalmic Surg Lasers Imaging. 2010 Jan-Feb;41(1):67-71. PMID: 20143510

Kara N, Yazici AT, Bozkurt E, et al. Which procedure has more effect on macular thickness: Primary posterior continuous capsulorhexis (PPCC) combined with phacoemulsification or Nd:YAG laser capsulotomy? Int Ophthalmol. 2011 Aug;31(4):303-7. doi: 10.1007/s10792-011-9461-9. PMID: 21842401

Giocanti-Aure´gan A, Tilleul J, Rohart C, et al. OCT measurement of the impact of Nd:YAG laser capsulotomy on foveal thickness. J Fr Ophtalmol. 2011 Nov;34(9):641-6. doi: 10.1016/j.jfo.2011.02.020. PMID: 21889816

Lewis H, Singer TR, Hanscom TA, Straatsma BR: A prospective study of cystoid macular edema after neodymium: YAG laser posterior capsulotomy. Ophthalmology. 1987 May;94(5):478-82. PMID: 3601362

Tielsch JM, Legro MW, Cassard SD, et al. Risk factors for retinal detachment after cataract surgery. A population-based case-control study. Ophthalmology. 1996 Oct;103(10):1537-45. PMID: 8874424

Javitt JC, Tielsch JM, Canner JK, et al. National out-comes of cataract extraction;increased risk of retinal complications associated with Nd:YAG laser capsulo- nal detachment. Ophthalmology. 1992 Oct;99(10):1487-97. PMID: 1454313

Raza A. Complications after Nd:Yag posterior capsulotomy. Journal of Rawalpindi Medical College. 2007;11:27–29.

Olsen GM, Olson RJ. Prospective study of cataract surgery, capsulotomy, and retinal detachment. J Cataract Refract Surg. 1995 Mar;21(2):136-9. PMID: 7791052

Koch DD, Liu JF, Gill EP, Parke DW II. Axial myopia increases the risk of retinal complications after neodymium:YAG posterior capsulotomy. Arch Ophthalmol. 1989 Jul;107(7):986-90. PMID: 2751470

Rickman-Barger L, Florine CW, Larson RS, Lindstrom RL. Retinal detachment after neodymium:YAG laser posterior capsulotomy. Am J Ophthalmol. 1989 May 15;107(5):531-6. PMID: 2712134

Dardenne MU, Gerten G-J, Kokkas K, Kermani O. Retrospective study of retinal detachment following neodymium:YAG laser posterior capsulotomy. J Cataract Refract Surg. 1989 Nov;15(6):676-80. PMID: 2614712

Nielsen NE, Naeser K. Epidemiology of retinal detachment following extracapsular cataract extraction: a follow-up study with an analysis of risk factors. J Cataract Refract Surg. 1993 Nov;19(6):675-80. PMID: 8271160

Powell SK, Olson RJ. Incidence of retinal detachment after cataract surgery and neodymium:YAG laser capsulotomy. J Cataract Refract Surg. 1995 Mar;21(2):132-5. PMID: 7791051

Sheard RM, Goodburn SF, Comer MB, Scott JD, Snead MP. Posterior vitreous detachment after neodymium:YAG laser posterior capsulotomy. J Cataract Refract Surg. 2003 May;29(5):930-4. PMID: 12781278

Mastropasqua L, Ciancaglini M, Carpineto P: Aqueous misdirection syndrome: a complication of neodymium: YAG posterior capsulotomy. J Cataract Refract Surg. 1994 Sep;20(5):563-5. PMID: 7996414

Carlson AN, Koch DD: Endophthalmitis following Nd:YAG laser posterior capsulotomy. Ophthalmic Surg. 1988 Mar;19(3):168-70. PMID: 3258419

Jones NP, McLeod D, Boulton ME: Massive proliferation of lens epithelial remnants after Nd-YAG laser capsulotomy. Br J Ophthalmol. 1995 Mar;79(3):261-3. PMID: 7703206

Aron-Rosa DS: Influence of picosecond and nanosecond YAG laser capsulotomy on intraocular pressure. J Am Intraocul Implant Soc. 1985 May;11(3):249-52. PMID: 4008311

Channell MM, Beckman H: Intraocular pressure changes after neodymium-YAG laser posterior capsulotomy. Arch Ophthalmol. 1984 Jul;102(7):1024-6. PMID: 6547596

Smith RT, Moscoso WE, Trokel S, Auran J: The barrier function in neodymium-YAG laser capsulotomy. Arch Ophthalmol. 1995 May;113(5):645-52. PMID: 7748137


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