Zeitschrift für klinische und experimentelle Ophthalmologie
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Abstrakt

Study of Visual Outcome after Neodymium YAG Laser Therapy in Posterior Capsular Opacity

Pawan N. Jarwal

Purpose: Posterior capsular opacification is the most common long term complication of modern IOL surgery. Neodymium YAGlaser remains the cornerstone of its treatment .In this study, an attempt was made to study the visual outcome following Neodymium YAG laser capsulotomy Methods:This was a prospective study of 50 patients conducted inHospital , attached to R.U.H.S.-CMS Medical College ,Jaipur. All patients aged 50 years and above, attending the regular OPD who presented with visually significant posterior capsular opacification were treated with Neodymium YAGlaser capsulotomy. After capsulotomy, follow up was done 1 – 4 hour after Capsulotomy, day one, end of first week, end of first month and at the end of minimum 3 months. During follow-up the visual acuity Intra Ocular Pressure (IOP) and other relevant tests were conducted and appropriate intervention were made during the follow-up period. Results:Inmystudyduration ofonsetofsymptoms ofPosteriorcapsularopacity (PCO)ismorebetween2-3years period after surgery.Pearls type of isPosteriorcapsular opacity more when compared to fibrous type. Most of the patients treated for Posterior capsular opacity with Neodymium: YAG laser capsulotomy showed an improvement in visual acuity .There was no incidence of major complications in patients treated with procedure. Conclusion: Neodymium-YAG laser therapy presents the advantage of a non-invasive, effective, relatively safe technique to manage intact posterior capsule that opacity post operatively.