Botella VCA, Torriente TVO, Martínez LZC, Triana CI

Language: Spanish
References: 16
Page: 861-869
PDF size: 156.97 Kb.

ABSTRACT

Introduction: The posterior capsular opacity is the most frequent complication in the cataract surgery and, although capsulotomy with Nd-Yag laser is a very effective procedure to solve it, it is not free of complications.
Objective: To describe the complications in patients exposed to capsulotomy with Nd-Yag laser.
Methods: A descriptive and prospective study of 104 patients with posterior capsular opacity, assisted in "Enrique Cabrera" Ophthalmological Center from Havana, was carried out during the 2010. Variables of frequency and type of complication, age, sex, pathological ocular and systemic medical history, classification of the capsular opacity, energy used, as well as visual acuity before and after the treatment were analyzed.
Results: The increase of the intraocular pressure and the cystic macular edema as the most common complications, the 56-75 year-old patients, female sex, as well as the capsular fibrotic opacity and the capsulotomy with more than 8,0 MJ prevailed in the case material.
Conclusions: More than half of the patients presented complications of transitory and reversible type, which were not related to the quantity of energy used; the visual improvement after the procedure was remarkable.

REFERENCES

1. Boyd BF. Nuevos adelantos permitirán realizar una facoemulsificación más efectiva. Highlights Ophtalmol. 2002; 30(2):19.

2. Alió JL, Mulet ME, Shalaby AM, Attia WH. Phacoemulsification in the anterior chamber. J Cataract Refract Surg 2002; 28: 67-75.

3. Hormigó Belett A, Silva Chill T, Simoneau Hormigó O, Barrera Garcell B, Hormigó Puertas IF. Consideraciones generales sobre la capsulotomía. MEDISAN. 2007 [citado 12 Feb 2012];11(2). Disponible en: http://bvs.sld.cu/revistas/san/vol11_2_07/san04207.htm

4. Cataract in adults: management of functional impairment [citado 12 Feb 2012]. Disponible en: http://archive.ahrq.gov/clinic/medtep/catguide.htm

5. Sperduto RD, Seigel D. Senile lens and senile macular changes in a population-based sample. Am J Ophthalmol. 1980; 90(1):86-91.

6. Ge J, Wand M, Chiang R, Paranhos A, Shields MB. Long-term effect of Nd-YAG laser posterior capsulotomy on intraocular pressure. Arch Ophthalmol. 2000; 118(10):1334-7.

7. Sundelin K, Sjostrand J. Posterior capsule opacification 5 year after extracapsular cataract extraction. J Cataract Refract Surg. 1999; 25(2):246-50.

8. Pedroso A, Trujillo K, Ríos R. Efectividad del Nd-YAG láser en la capsulotomía posterior. Rev Cub Oftalmol. 2004;17(1). Disponible en: http://bvs.sld.cu/revistas/oft/vol17_1_04/oft08104.htm

9. Baratz KH, Cook BE, Hodge DO. Probability of Nd-YAG laser capsulotomy after cataract surgery in Olmsted Country, Minnesota. Am J Ophthalmol. 2001;131 (2):161-6.

10. Shah GR, Gills JP, Durham DG, Ausmus WH. Three thousand YAG laser in posterior capsulotomies: an analysis of complication and comparison to polishing and surgical decisions. Ophthalmic Surg. 1986; 17:473-7.

11. Avakian A. Facemulsificação na alta miopia e na alta hipermetropia. En: Centurion V, Nicoli C, Villar-Kuri J. El libro del cristalino de las Américas. São Paulo: Livraria Santos; 2007.p. 758.

12. Skolnick KA, Perlman JI, Long DM, Kernan JM. Neodymium:YAG laser posterior capsulotomies performed by residents at a Veterans Administration Hospital. J Cataract Refract Surg. 2000; 26(4):597-601.

13. Apple DJ, Auffarth GU, Peng Q, Visessook N. Foldable intraocular lenses. Evolution, clinicpathologic correlations, complications. Thorofare: Editorial Reviews; 2000.

14. Fernández Pérez SR. Impacto y trascendencia social del glaucoma en pacientes del área de atención del Hospital Clínico Quirúrgico "Dr. Joaquín Castillo Duany"; MEDISAN 2005 [citado 12 Feb 2012]; 9(3). Disponible en: http://bvs.sld.cu/revistas/san/vol9_3_05/san09305.htm

15. Aslam TM, Devlin H, Dhillon B. Use of Nd:YAG laser capsulotomy. Surv Ophthalmol. 2003; 48(6):594-612.

16. Demirok A. Nd:YAG laser posterior capsulotomy after pediatric and adult cataract surgery. Annals Ophthalmol. 2007;39(4):321-6.