Vitreous opacification after neodymium:YAG posterior capsulotomy

Kumagai, Kazuyuki; Ogino, Nobuchika; Shinjo, Utako; Demizu, Seiji; Shioya, Miyoko; Ueda, Kayo

doi:10.1016/s0886-3350(99)00087-5

Cited by 9 publications

(5 citation statements)

References 13 publications

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“…The disadvantage of a smaller PCCC is the visual axis obscuration caused by the proliferation of the lens epithelial cells from the PCCC margin. [22][23][24][25] The reported incidence of visual axis obscuration with PMMA IOLs is 60% to 100% when capsulotomy is not combined with anterior vitrectomy. 26 In our study, we reported that in children younger than 5 years who underwent PCCC without anterior vitrectomy using PMMA IOLs, 62.5% developed visual axis obscuration at an average follow-up of 13.3 months.…”

Section: Discussionmentioning

confidence: 99%

Anterior vitreous face behavior with AcrySof in pediatric cataract surgery

Vasavada¹,

Nath²,

Trivedi

2003

Journal of American Association for Pediatric Ophthalmology and

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Section: Discussionmentioning

confidence: 99%

Anterior vitreous face behavior with AcrySof in pediatric cataract surgery

Vasavada¹,

Nath²,

Trivedi

2003

Journal of American Association for Pediatric Ophthalmology and

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“…It involves removal of the central part of the posterior capsule to prevent equatorial lens epithelial cell (LEC) migration and formation of PCO, and has been utilized as a primary planned procedure for the prevention of PCO formation in adults [ 15 , 16 ]. The PCCC procedure eradicates the need for Neodymium:yttrium aluminum garnet (Nd:YAG) laser capsulotomy, that is associated with numerous complications including retinal tears, IOL damage, cystoid macular edema (CME), anterior hyaloid opacity, inflammation, and increased intraocular pressure (IOP) [ 17 – 19 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of primary posterior capsulotomy during phaco-vitrectomy for epiretinal membrane

2022

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Purpose To evaluate the necessity and safety of primary posterior capsulotomy during phaco-vitrectomy for idiopathic epiretinal membrane (ERM). Setting Seoul National University Bundang Hospital, Seongnam, Korea. Design Retrospective consecutive cohort analysis. Methods This study enrolled 219 patients (228 eyes) who underwent combined 25-gauge phaco-vitrectomy for idiopathic ERM and cataract, divided into capsulotomy (−) group (152 eyes, 144 patients) and capsulotomy (+) group (76 eyes, 75 patients). The main outcomes were rate of posterior capsular opacity (PCO) occurrence and postoperative complications. Ophthalmic examinations were performed at baseline, 1, 3, 6, and 12 months postoperatively. Results PCO only occurred in capsulotomy (−) group (20 eyes, 13.2%), with mean onset of 10.59 months. Visually-significant PCO that needed Nd:YAG posterior capsulotomy was present in 9 eyes (45.0% of PCO eyes). The rate of cystoid macular edema (CME) was higher in capsulotomy (+) group (6.6% vs. 15.8%, p = 0.026) with longer duration (1.50 vs. 3.36 months, p = 0.019). Female sex and posterior capsulotomy were significant risk factors for CME occurrence (p < 0.05). Conclusion Primary posterior capsulotomy during phaco-vitrectomy for idiopathic ERM obviated the need for Nd:YAG posterior capsulotomy, but visually-significant PCO that needed Nd:YAG laser was not common. Considering the low rate of visually-significant PCO and high rate of postoperative CME, routine posterior capsulotomy during phaco-vitrectomy may not be necessary for preventing PCO in ERM.

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“…However, this procedure is associated with a small risk of complications such as vitreous floaters, a rise in intraocular pressure, macular edema, and damage and decentration of the IOL. [3–8]…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of primary posterior capsulotomy in combined phaco-vitrectomy in rhegmatogenous retinal detachment

Shin

Park

et al. 2019

PLoS ONE

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Objective To evaluate the efficacy and safety of posterior capsulotomy by analyzing the long-term visual outcomes in patients with rhegmatogenous retinal detachment (RD), who underwent combined phaco-vitrectomy with or without primary posterior capsulotomy. Methods A retrospective longitudinal cohort analysis was performed by using data of rhegmatogenous RD patients undergoing combined phaco-vitrectomy. Patients were divided into two groups; Group A (68 eyes of 68 patients) with capsulotomy, and Group B (39 eyes of 39 patients) without capsulotomy. We reviewed the best-corrected visual acuity (BCVA), incidence of posterior capsule opacification (PCO), clinical features at the diagnosis of rhegmatogenous RD, and intraoperative or postoperative complications following posterior capsulotomy. Results The modified BCVA measured by the logarithm of the minimum angle of resolution at initial diagnosis and 3, 6, and 12 months after surgery was 0.67 in Group A versus 0.85 in Group B (p = 0.258), 0.40 in Group A versus 0.50 in Group B (p = 0.309), 0.27 in Group A versus 0.45 in Group B (p = 0.055), and 0.21 in Group A versus 0.47 in Group B (p = 0.014), respectively. In subgroup with macula-on RRD, Group A exhibited better visual outcomes compared to Group B at 6(0.17 versus 0.40 [p = 0.037]) and at 12 months(0.14 versus 0.39 [p = 0.030]). The incidence of PCO in Group B was higher than Group A(28.2% versus 4.4% (p < 0.001)). There were no complications associated with posterior capsulotomy. Conclusions A primary posterior capsulotomy during combined phaco-vitrectomy using a 23-gauge vitreous cutter was a safe and effective surgical procedure in patients with RRD patients for preventing postoperative intraocular lens-related PCO.

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Vitreous opacification after neodymium:YAG posterior capsulotomy

Abstract: The prevalence of vitreous opacification after Nd:YAG laser posterior capsulotomy was significantly higher in diabetic than in nondiabetic eyes. Viterectomy was effective for this type of opacification.

Cited by 9 publications

References 13 publications

Anterior vitreous face behavior with AcrySof in pediatric cataract surgery

Anterior vitreous face behavior with AcrySof in pediatric cataract surgery

Efficacy and safety of primary posterior capsulotomy during phaco-vitrectomy for epiretinal membrane

Efficacy and safety of primary posterior capsulotomy in combined phaco-vitrectomy in rhegmatogenous retinal detachment

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