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The role of anterior hyaloid face integrity on retinal complications during Nd: YAG laser capsulotomy

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Abstract

Background

This study evaluated anterior hyaloid damage (AHD), AHD-related Nd:YAG laser parameters, and retinal complications in subjects that underwent Nd:YAG laser posterior capsulotomy for cataracts.

Methods

In this prospective, cross-sectional study, 277 pseudophakic eyes of 216 patients treated with Nd:YAG laser capsulotomy for posterior capsule opacification were enrolled. Pulse number, pulse energy, and total energy were noted for each eye. All procedures were performed with a sense of anterior hyaloid protection. Anterior hyaloid faces were assessed during procedure and 1 day after the procedure. Eyes with biomicroscopically invisible anterior hyaloid face were excluded from statistical analysis. Eyes with and without AHD were compared according to Nd:YAG laser parameters. Retinal complications were evaluated at day 1, week 1, month 1, and month 3.

Results

In 22 eyes (7.9 % of 277 eyes), the anterior hyaloid face couldn’t be assessed biomicroscopically. Anterior hyaloid damage was observed in 49 eyes (19.2 % of 255 eyes). The pulse number, pulse energy, and total energy were observed to be higher in eyes with AHD (P < .001, P = .024, P < .001, respectively). Cystoid macular edema was detected in five eyes (three with AHD) at 1-week examination. Localized retinal detachment occurred in one eye with AHD. Occurrence of retinal complication in the AHD(+) group was 12.7 times higher than in the AHD(−) group, adjusted for total energy used (P < 0.001).

Conclusion

The risk of AHD may increase with high pulse number, pulse energy, and total energy. Anterior hyaloid face integrity should be considered for YAG laser-related retinal complications.

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Conflict of Interest

The authors declare that they have no conflicts of interest relevant to this work.

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Authors and Affiliations

  1. Department of Ophthalmology, Ünye State Hospital, Ordu, Turkey

    Erhan Özyol & Pelin Özyol

  2. Faculty of Medicine, Department of Biostatistics, Ankara University, Ankara, Turkey

    Beyza Doğanay Erdoğan

  3. Department of Ophthalmology, Numune Training and Research Hospital, Ankara, Turkey

    Mehmet Önen

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  1. Erhan Özyol
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  2. Pelin Özyol
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  3. Beyza Doğanay Erdoğan
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  4. Mehmet Önen
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Correspondence to Erhan Özyol.

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Özyol, E., Özyol, P., Doğanay Erdoğan, B. et al. The role of anterior hyaloid face integrity on retinal complications during Nd: YAG laser capsulotomy. Graefes Arch Clin Exp Ophthalmol 252, 71–75 (2014). https://doi.org/10.1007/s00417-013-2526-x

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  • DOI: https://doi.org/10.1007/s00417-013-2526-x

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