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Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 325

Nd:YAG membranotomy to disperse trapped oil

Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India

Date of Web Publication07-Jan-2022

Correspondence Address:
Dr. Amber A Bhayana
Dr. R. P. Centre, AIIMS, New Delhi - 110 029
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_2204_21

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How to cite this article:
Bhayana AA, Prasad P. Nd:YAG membranotomy to disperse trapped oil. Indian J Ophthalmol Case Rep 2022;2:325

How to cite this URL:
Bhayana AA, Prasad P. Nd:YAG membranotomy to disperse trapped oil. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Aug 14];2:325. Available from: https://www.ijoreports.in/text.asp?2022/2/1/325/334932

A 35-year-old otherwise healthy male (operated vitreoretinal surgery with oil removed) had remnant emulsified oil between the anterior intraocular lens IOL surface and a fibrotic membrane anterior to it [Figure 1]a and [Figure 1]b. Due to the ongoingcoronavirus disease COVID-19 pandemic and shutdown of the operation theater services, a temporary fix was done using the Nd: YAG laser[1] creating multiple membranotomies dispersing the oil into the anterior chamber [Fig. 1c and d]. The patient was finally planned for an anterior chamber wash when the services resumed. We propose the use of Nd: YAG for minimal invasive management of such cases.
Figure 1: (a) Slit-lamp examination showing oil droplets entrapped anterior to the IOL surface; (b) anterior segment optical coherence tomography (ASOCT) showing hyperreflective oil globules between the anterior IOL surface and fibrous membrane (white arrow); (c) post-YAG image showing clean anterior IOL surface; (d) ASOCT showing a site of membranotomy (yellow arrow), and disappearance of oil globules

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient (s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Karahan E, Er D, Kaynak S. An overview of Nd: YAG laser capsulotomy. Med Hypothesis Discov Innov Ophthalmol 2014;3:45-50.  Back to cited text no. 1


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