Bilateral Nonrhegmatogenous Retinal Detachment Following Neodymium-YAG Laser Iridotomies

Karjalainen, Klaus; Laatikainen, Leila; Raitta, Christina

doi:10.1001/archopht.1986.01050200040034

Cited by 27 publications

(7 citation statements)

References 4 publications

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“…However, there may be anterior segment adverse effects including hyphema, iritis, and corneal endothelial damage [1]. In addition, posterior segment complications include malignant glaucoma and retinal detachment [2,3]. Rarely, macular holes have been reported after LPI postulated to be from the concussive force on the anterior hyaloid face propagated within the vitreous cavity [4].…”

Section: Introductionmentioning

confidence: 99%

Unilateral Stage 1A Macular Hole Secondary to Low-Energy Nd:YAG Peripheral Iridotomy

Tsui¹,

Marks²

2021

Cureus

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Macular hole formation is a rare complication of laser peripheral iridotomy (LPI) and may cause permanent scotomas. This case describes macular hole formation after 2.8 mJ Nd:YAG laser energy application in a patient with vitreomacular attachment. A literature review of a limited number of case reports shows that older patients who developed holes after LPI had more visually-significant and advanced stage holes that required surgical retinal repair, whereas younger patients had less visually-significant and mild stage holes with a spontaneous resolution on optical coherence tomography (OCT).

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Section: Introductionmentioning

confidence: 99%

Unilateral Stage 1A Macular Hole Secondary to Low-Energy Nd:YAG Peripheral Iridotomy

Tsui¹,

Marks²

2021

Cureus

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“…Consequently, non-invasive therapy, like laser iridotomy or gonioplasty, is considered to be the treatment of choice in nanophthalmic angle closure (Singh et al 1982). However, massive uveal effusion and retinal detachment have also been reported following laser iridotomies (Karjalainen et al 1986). Our patient illustrates a typical case history of nanophthalmos and is representative for the above-mentioned therapeutical problems.…”

Section: Discussionmentioning

confidence: 77%

Exudative retinal detachment in nanophthalmos

Krohn

Seland

1998

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: To report the treatment of exudative retinal detachment in a patient with nanophthalmos. Methods: A 46-year-old man with bilateral nanophthalmos suffered from acute angle-closure glaucoma in his left eye. The first day after a peripheral iridectomy an exudative retinal detachment was obseved. Two months later a partial thickness sclerectomy with a central sclerostomy, covered by a thin film of absorbable gelatine, was performed in each quadrant of the left eye. Results: The retinal detachment gradually resolved and after eight months the retina was completely reattached. Vision, which had been limited to hand movements, improved to 6/18 with correction. Conclusion: Scleral resections are effective in the treatment of nanophthalmic retinal detachment. The use of absorbable gelatine film to cover the sclerectomized area may prevent regeneration of scleral tissue and recurrence of the exudative retinal detachment.

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“…The low energy of the individual pulses minimises the danger of damaging adjacent structures, as is demonstrated by the lack of collateral pigment defects in iridectomies. It may therefore be assumed that known complications of capsulotomies such as retinal detachment, cystoid macular oedema,13 or focal endothelial and trabecular damage14 15 may be reduced when using the ps laser.…”

Section: Discussionmentioning

confidence: 99%

Initial clinical experience with the picosecond Nd:YLF laser for intraocular therapeutic applications

Geerling

Roider

Schmidt-Erfurt

et al. 1998

British Journal of Ophthalmology

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Aims/background-Compared with nanosecond (ns) pulses of conventional Nd-YAG lasers, picosecond (ps) laser pulses allow intraocular surgery at considerably lower pulse energy. The authors report initial clinical experiences using a Nd:YLF ps laser for the treatment of various indications for photodisruption. Methods-A Nd:YLF laser system (ISL 2001, wavelength 1053 nm) was used to apply pulse series of 100-400 µJ single pulse energy at a repetition rate of 0.12-1.0 kHz. Computer controlled patterns were used to perform iridectomies (n=53), capsulotomies (n=9), synechiolysis (n=3), and pupilloplasties (n=2). Other procedures were vitreoretinal strand incision (n=2) and peripheral retinotomy (n=1). For comparison, 10 capsulotomies and 20 iridotomies were performed with a Nd:YAG ns laser. The ps laser cut of an anterior capsule was assessed by scanning electron microscopy (SEM). Results-Open, well defined iridectomies (mean total energy 4028 mJ, mean diameter 724 µm) were achieved at first attempt in 92% of the cases. In 64% an iris bleeding and in 21% an IOP increase of >10 mm Hg occurred. All capsulotomies were performed successfully (mean energy 690 mJ/mm cutting length) but with a high incidence of intraocular lens damage. The attempted vitreoretinal applications remained unsuccessful as a result of optical aberrations of the eye and contact lens. Although ps laser capsulotomies and iridectomies required much higher total energy than ns procedures, the resulting tissue eVects of the ps pulses were more clearly defined. SEM examination of a ps incision of the anterior lens capsule demonstrated, nevertheless, that the cut was more irregular than the edge of a continuous curvilinear capsulorhexis. Conclusion-Series of ps pulses applied in computer controlled patterns can be used eVectively for laser surgery in the anterior segment and are considerably less disruptive than ns pulses. The ps laser is well suited for laser iridectomies while the ns laser is preferable for posterior capsulotomies. As vitreoretinal applications remained unsuccessful, the range of indications for intraocular photodisruption could not be extended by the ps laser.(Br J Ophthalmol 1998;82:504-509)

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Bilateral Nonrhegmatogenous Retinal Detachment Following Neodymium-YAG Laser Iridotomies

Cited by 27 publications

References 4 publications

Unilateral Stage 1A Macular Hole Secondary to Low-Energy Nd:YAG Peripheral Iridotomy

Unilateral Stage 1A Macular Hole Secondary to Low-Energy Nd:YAG Peripheral Iridotomy

Exudative retinal detachment in nanophthalmos

Initial clinical experience with the picosecond Nd:YLF laser for intraocular therapeutic applications

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