Vol. 1 Issue 1 Part A

Author(s): J Kavya Rao and Vinay Kumar RS

Abstract:
The ultimate goal was to interpret all the above data and take the necessary steps to improve the visual outcome and prevent elevation in IOP following Nd:YAG laser capsulotomy. A total of 100 patients were included in the study. The age of patients varied between 43-80 years with a mean age of 62.7 ± 7.62 years, there were 51 males and 43 females, on whom after informed consent Nd:YAG laser posterior capsulotomy was done. A comprehensive preoperative ophthalmic evaluation including snellen’s visual acuity, slit lamp examination, direct ophthalmoscopy, applanation tonometry and fundus examination (whenever possible) was done. An cruciate opening in the capsule made using ophthalmic YAG laser system. The post operative followup were done 1 hour, 4 hour, 24 hour, 1 week, 1month, 3month and 6month after laser and observed for any complication. The number of male patients treated were more than females. The preoperative visual acuity had diminished grossly in patients with PCO. 85% of patients had vision of <6/24. Most of the laser procedure was done using energy between 2.0 – 2.4mJ, minimum energy used is 1.5mJ and maximum energy used is 5mJ. The total energy required in most of the procedures was between 31 to 90 mJ, minimum energy used is 20.8 mJ and maximum energy used is 140mJ. Postlaser improvement of visual acuity was excellent with 95%, improving more than 2 lines on snellen’s chart. Rise in IOP was seen in 12%, out of which 3 (3%) patients had IOP rise >10 mmHg, while 9 (9%) patients had IOP rise of 5-10 mmHg. The IOP was within baseline value after 1 month, as antiglaucoma medication was started in these patients after 24 hours. Out of 100 eyes treated, IOL pitting was observed in 14%, iritis was observed in 2% cases, CME was also observed in 2% and hyphema was seen in 1%. No other complications were seen in present study.

Pages: 72-75  |  75 Views  35 Downloads

Download Full Article: Click Here