Open AccessTreatment of late-onset capsular distension syndrome with a neodymium:YAG laser peripheral iridotomy and anterior capsulotomy
Author(s) -
Davinder S. Grover,
Roger A. Goldberg,
Bernadete Ayres,
Francisco Fantes
Publication year - 2012
Publication title -
journal of cataract and refractive surgery/journal of cataract and refractive surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 142
eISSN - 1873-4502
pISSN - 0886-3350
DOI - 10.1016/j.jcrs.2012.04.003
Subject(s) - capsulotomy , medicine , distension , ophthalmology , phacoemulsification , posterior capsulotomy , cataract surgery , capsule , capsulorhexis , laser , surgery , peripheral , nd:yag laser , lens (geology) , intraocular lens , visual acuity , optics , botany , physics , biology
We describe a new approach to treat late-onset capsular distension syndrome in which the fluid in the capsular bag is cloudy and prevents a posterior neodymium:YAG (Nd:YAG) laser capsulotomy. A peripheral laser iridotomy is created through which the anterior lens capsule peripheral to the IOL optic is accessed. This opening in the iris provides an access point through which an anterior Nd:YAG laser capsulotomy can be performed. Following disruption of the anterior lens capsule, the capsular fluid is released into the anterior chamber and absorbed through the inherent drainage system of the eye. This approach avoids the need for a more invasive surgical intervention.