Effect of Nd:YAG laser capsulotomy on the risk for retinal detachment after cataract surgery: systematic review and meta-analysis

Liu, Huayan; Liu, Xianjie; Chen, Yutong; Wang, Danfeng; Li, Yongshan; Chen, Haijie; Ma, Xiang

doi:10.1097/j.jcrs.0000000000000755

Cited by 10 publications

(10 citation statements)

References 54 publications

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“…The role of YAG laser capsulotomy as a cause of RD remains controversial, although recent studies consider it to be a risk factor [10]. YAG capsulotomy is a common procedure, despite being a minimally invasive procedure, several complications have been reported in the posterior segment, such as the rupture of the anterior hyaloid face, macular oedema, retinal tears and RD [25][26][27], secondary a a breakdown of the physical barrier, biochemical alterations and acoustic shock waves in the vitreous body, which can cause changes similar to those that take place when posterior capsule rupture occurs during cataract surgery [10,28]. Our study didn´t nd statistically signi cant associations with YAG capsulotomy, probably due to the small number of patients who underwent this procedure in our sample.…”

Section: Discussionmentioning

confidence: 99%

“…The risk factors for PRD are known to include: age, being more frequent in patients under 60 years of age [4] given that most of these lack the "protective factor" of having posterior vitreous detachment at the time of surgery [5]; gender, being more frequent in men [6] , ; myopia [2,7]; intra-operative complications, such as rupture of the posterior capsule during phacoemulsi cation [8]; the presence of lattice degeneration [9]; and having been subjected to YAG laser capsulotomy, although this remains somewhat controversial [10,11] , . Given that cataract surgery is currently the most common ophthalmic surgical procedure performed in our clinical setting [12], and that there is a boom of clear lens extraction in refractive surgery at younger ages, the incidence of PRD is expected to increase in the coming years.…”

Section: Introductionmentioning

confidence: 99%

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The Characteristics of Pseudophakic Retinal Detachment and Risk Factors of Recurrence in the North of Spain

Gibelalde

Pinar-Sueiro²,

Ibarrondo³

et al. 2022

Preprint

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Purpose: The present study was designed to gain knowledge about the prognostic factors and evolution of pseudophakic retinal detachment (PRD). To analyse the main characteristics of PRD, such as the mean time to retinal detachment following cataract surgery, as well as the clinical factors associated with the risk of recurrence, and with worse anatomical and functional outcomes.Methods: Retrospective study of 330 patients with PRD between 2012-2020.All patients are pseudophakic ,were referred for retinal detachment surgery at the Donostia University Hospital (Terciary Hospital, Spain). Results: The mean age of patients was 63.06 ± 10.8 at the time of phacoemulsification and 49.09% of them had moderate myopia ( axial length (AL) (23.5 26.5 mm). In our serie, macular detachment was evident in 69.09% of patients. The mean time that elapsed between phacoemulsification and RD surgery was 4.04 ± 4.17 years, being reduced by half in the event of surgical complications (2.24 ± 2.65). The rate of recurrence of RD was 28.79%. The anatomical results in terms of retinal reapplication have been better by combining vitrectomy with scleral buckle (83.1% vs 70.5%). The variables associated with a higher risk of recurrence were male gender (Hazard ratio -HR= 1.75), macular detachment (HR= 2.00) and the presence of proliferative vitreoretinopathy (PVR) (HR= 3.21) Conclusions :PRD usually occurs within 4 years of phacoemulsification, although it may occur significantly earlier in the event of surgical complications. The involvement of the macula, PVR, and male gender are all associated with a higher risk of PRD recurrence.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Characteristics of Pseudophakic Retinal Detachment and Risk Factors of Recurrence in the North of Spain

Gibelalde

Pinar-Sueiro²,

Ibarrondo³

et al. 2022

Preprint

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“…Nevertheless, the procedure itself is not devoid of complications, including damage to the IOL, such as IOL pitting or dislocation, cystoid macular oedema, and retinal detachment. 3,[11][12][13] In addition to the potential complications, PCO also places a financial burden upon the healthcare system. 14 Consequently, there is significant interest in PCO prevention.…”

Section: Introductionmentioning

confidence: 99%

“…Neodymium:YAG (Nd:YAG) laser capsulotomy is the most common and efficient approach to manage PCO. Nevertheless, the procedure itself is not devoid of complications, including damage to the IOL, such as IOL pitting or dislocation, cystoid macular oedema, and retinal detachment 3,11–13 . In addition to the potential complications, PCO also places a financial burden upon the healthcare system 14 .…”

Section: Introductionmentioning

confidence: 99%

Influence of the CleaRing intraocular open capsule device on refractive predictability in cataract surgery

Barnir

Kleinmann

2023

Clinical Exper Ophthalmology

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BackgroundThe marked improvement in cataract surgery and intraocular lens (IOL) quality has led to a decline in posterior capsular opacification (PCO) incidence; however, PCO remains a common complication of cataract surgery. The CleaRing intraocular capsule open device (IOCD) decreases PCO incidence. We aimed to investigate the influence of the CleaRing IOCD on refractive predictability in cataract surgery.MethodsWe conducted this prospective pilot study at the Wolfson Medical Center, Holon, Israel. Ten eyes of patients who underwent cataract surgery and insertion of an IOL after IOCD implantation into the capsular bag were included. All patients completed 12 months of follow‐up, including refraction, measurement of uncorrected (UDVA) and best‐corrected distance visual acuity (CDVA), slit‐lamp biomicroscopy, and ultrasound biomicroscopy.ResultsAll the surgeries were uneventful, with no postoperative complications. The IOL was centred in the device and bag in all cases. The mean prediction error at 1 and 12 months postoperatively was +0.28 ± 0.32 D and +0.50 ± 0.32 D, respectively. The mean UDVA was 0.17 ± 0.13 and 0.15 ± 0.11 logMAR, and the mean CDVA was 0.04 ± 0.10 and 0.04 ± 0.06 logMAR, respectively. The manifest refractive cylinders at 12 months postoperatively were compatible with corneal astigmatism.ConclusionsImplantation of the IOCD resulted in a slight, predicted, and stable hyperopic shift with a low standard deviation. The standard deviation of the prediction error demonstrated excellent refractive accuracy and predictability using the IOCD, which was as low as 0.32 D at the 12‐month follow‐up.

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“…6 In addition, RLE patients can be more likely to undergo YAG capsulotomy, adding on further risk of complications. 3 Thus, it is reasonable to be cautious toward early RLE while additional evidence continues to emerge.…”

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confidence: 99%

Refractive Lens Exchange: Weighing the Implications of Early Crystalline Lens Removal

Moshirfar,

Tuttle,

Stoakes

et al. 2023

J Cataract Refract Surg

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Effect of Nd:YAG laser capsulotomy on the risk for retinal detachment after cataract surgery: systematic review and meta-analysis

Abstract: Nd:YAG laser capsulotomy increased the risk for retinal detachment. The associations were stronger for Asian than non-Asian populations and for extracapsular cataract extraction than for phacoemulsification.

Cited by 10 publications

References 54 publications

The Characteristics of Pseudophakic Retinal Detachment and Risk Factors of Recurrence in the North of Spain

The Characteristics of Pseudophakic Retinal Detachment and Risk Factors of Recurrence in the North of Spain

Influence of the CleaRing intraocular open capsule device on refractive predictability in cataract surgery

Refractive Lens Exchange: Weighing the Implications of Early Crystalline Lens Removal

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