Outcome of posterior capsulotomy in late capsular block syndrome with posterior capsular opacification
- 14 September 2006
- journal article
- Published by Wiley in Clinical & Experimental Ophthalmology
- Vol. 34 (9), 866-869
- https://doi.org/10.1111/j.1442-9071.2006.01338.x
Abstract
Background: To examine the results of neodymium:yttrium-aluminium-garnet (Nd:YAG) laser posterior capsulotomy in eyes with late or previously unrecognized capsular block syndrome (CBS) presenting with deterioration of vision owing to posterior capsular opacification (PCO). Methods: Patients, who underwent uneventful phacoemulsification with intraocular implantation and were referred for Nd:YAG laser capsulotomy owing to PCO, were prospectively examined for the presence of CBS. When indicated, Nd:YAG laser posterior capsulotomy was carried out. Prospective follow-up examinations were performed for the next 6 months. The outcome measures were post-laser change in best corrected visual acuity, refraction, change in intraocular pressure, inflammation and complication rate. Results: Of 655 patients referred for capsulotomy, eight had an associated CBS in that eye. These eight eyes comprised the study cases. The presence of CBS had not been recognized before the development of PCO. Best corrected visual acuity improved in all cases. In seven out of eight (87.5%) eyes refraction was unchanged throughout the follow up. Ocular hypertension, inflammation or other complications did not develop. Conclusion: Nd:YAG laser capsulotomy in eyes with PCO and late or previously unrecognized CBS is a safe procedure, resulting in improved visual acuity without refractive change.This publication has 13 references indexed in Scilit:
- Intraoperative peripheral anterior capsulotomy to prevent early postoperative capsular block syndromeJournal of Cataract & Refractive Surgery, 2004
- Capsular block syndrome after inadequate Nd:YAG laser posterior capsulotomyEye, 2004
- Posterior capsular opacification with hydrogel, polymethylmethacrylate, and silicone intraocular lenses: two-year results of a randomized prospective trialAmerican Journal of Ophthalmology, 2000
- Capsular block syndrome: A case seriesJournal of Cataract & Refractive Surgery, 2000
- CorrespondenceAmerican Journal of Ophthalmology, 1999
- Quantitative Comparison of Posterior Capsule Opacification After Polymethylmethacrylate, Silicone, and Soft Acrylic Intraocular Lens ImplantationAmerican Journal of Ophthalmology, 1998
- New classification of capsular block syndromeJournal of Cataract & Refractive Surgery, 1998
- Capsular bag distension with an acrylic intraocular lensJournal of Cataract & Refractive Surgery, 1996
- Postoperative capsular bag distensionJournal of Cataract & Refractive Surgery, 1992
- Capsular bag distension after endophacoemulsification and posterior chamber intraocular lens implantationJournal of Cataract & Refractive Surgery, 1990