|Year : 2023 | Volume
| Issue : 2 | Page : 620
Accidental neodymium-doped yttrium aluminum garnet laser capsulotomy in a phakic eye
Abhijeet Beniwal, Akshat Sharma, Nawazish Shaikh, Radhika Tandon
Department of Ophthalmology, RP Centre of Ophthalmic Sciences, AIIMS, New Delhi, India
|Date of Web Publication||28-Apr-2023|
RP Centre of Ophthalmic Sciences, AIIMS New Delhi
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Beniwal A, Sharma A, Shaikh N, Tandon R. Accidental neodymium-doped yttrium aluminum garnet laser capsulotomy in a phakic eye. Indian J Ophthalmol Case Rep 2023;3:620
|How to cite this URL:|
Beniwal A, Sharma A, Shaikh N, Tandon R. Accidental neodymium-doped yttrium aluminum garnet laser capsulotomy in a phakic eye. Indian J Ophthalmol Case Rep [serial online] 2023 [cited 2023 Jun 2];3:620. Available from: https://www.ijoreports.in/text.asp?2023/3/2/620/375015
A 33-year-old lady presented with vision loss in the right eye post neodymium-doped yttrium aluminum garnet (Nd-YAG) capsulotomy in phakic eye (instead of pseudophakic left eye) with 4 mJ power leading to total white cataract formation overnight [Figure 1]a.
|Figure 1: (a) Preoperative clinical picture of the right eye with partially absorbed white cataract. (b) Postoperative clinical picture showing posterior capsular defect in retro illumination. (c) Fundus image of the eye with inferior cortical droplets in the resolving phase|
Click here to view
Lens aspiration was done 2 weeks post laser, and posterior capsular defect was noted. Multipiece intraocular lens (IOL; MN60AC, Alcon) was implanted in sulcus. Visual acuity during follow-up was 20/20 [Figure 1]b, with resolving cortical fibers found inferiorly in the vitreous cavity [Figure 1]c.
Nd-YAG laser can remove posterior capsular opacification,, but one needs to be careful while using it.
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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Wormstone IM. Posterior capsule opacification: A cell biological perspective. Exp Eye Res 2002;74:337-47.
Aron-Rosa D, Aron JJ, Griesemann M, Thyzel R. Use of the neodymium-YAG laser to open the posterior capsule after lens implant surgery: A preliminary report. Am Intraocul Implant Soc J 1980;6:352-4.