advertisement
Abstract #28012 Published in IGR 13-1
Anterior capsule relaxing incisions with neodymium:YAG laser for patients at high-risk for anterior capsule contraction
Hayashi K; Yoshida M; Hirata A; Hayashi HJournal of Cataract and Refractive Surgery 2011; 37: 97-103
Purpose: To examine the effect of anterior capsule relaxing incisions created with a neodymium:YAG (Nd:YAG) laser on prevention of anterior capsule contraction after cataract surgery in high-risk patients. Setting: Hayashi Eye Hospital, Fukuoka, Japan. Design: Randomized masked clinical trials. Methods: Patients at high risk for anterior capsule contraction had anterior capsule relaxing incisions in either eye 3 days postoperatively. The anterior capsule opening was measured using a Scheimpflug videophotography system (EAS-1000) immediately and 1, 3, and 6 months after capsulotomy, and the percentage reduction in area was calculated. The degree of intraocular lens (IOL) decentration and tilt, posterior capsule opacification (PCO), and other complications were also assessed. Results: Of the 84 patients included, 30 had primary angle closure, 28 had pseudoexfoliation, and 26 had diabetic retinopathy. There was no significant difference in the mean opening area between fellow eyes at baseline. In patients with primary angle closure, the area was significantly greater and the percentage reduction in area was significantly less in the capsulotomy group than in the no-capsulotomy group (P(less-than or equal to).0428). In patients with pseudoexfoliation or diabetic retinopathy, the percentage reduction was significantly less in the capsulotomy group than in the no-capsulotomy group (P(less-than or equal to).0493), although there was no significant difference in area. No significant difference was found in IOL decentration or tilt, PCO, or incidence of other complications. Conclusion: Neodymium:YAG laser anterior capsule relaxing incisions in the early period after cataract surgery were effective in preventing anterior capsule contraction in high-risk patients and had no adverse effects. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.
K. Hayashi. Hayashi Eye Hospital, 4-23-35 Hakataekimae, Hakata-Ku, Fukuoka 812-0011, Japan. hayashi-ken@hayashi.or.jp
Classification:
12.15 Capsulotomy (Part of: 12 Surgical treatment)
9.4.4.1 Exfoliation syndrome (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)
