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Months or years after the cataract operation, the remaining posterior lens capsule can become opaque and vision will be reduced in about 20–25% of eyes. [4] This is known as posterior capsule opacification (PCO). PCO is best treated by posterior capsulotomy using YAG laser. [4]
The technique is most commonly used for lithotripsy of urinary calculi and the treatment of posterior capsulotomy of the lens. [3] When used in corneal surgery, picosecond and nanosecond disruptors are used on the lamellae of the corneal stroma, and the method may be preferable as it leaves the epithelium and Bowman's layer unharmed. This ...
Slit lamp photograph of posterior capsular opacification visible a few months after implantation of intraocular lens in eye, seen on retroillumination. Nd:YAG lasers are used in ophthalmology to correct posterior capsular opacification, [6] after cataract surgery, for peripheral iridotomy in patients with chronic [7] and acute angle-closure glaucoma, [8] where it has largely superseded ...
Posterior capsular rupture, a tear in the posterior membrane of the natural lens capsule, is the most common complication during cataract surgery, with its rate ranging from 0.5% to 5.2%. [2] In most cases the situation can be salvaged, though it may be necessary to modify the original plans for the placement, refractive strength, and type of ...
Accommodative intraocular lenses may also have a slightly higher risk of developing posterior capsule opacification (PCO), though there is some uncertainty around this finding. [16] PCO is a common side-effect of many cataract surgeries and is easily treatable with a one-time laser capsulotomy procedure (see below).
Management involves cutting a small, circular area in the posterior capsule with targeted beams of energy from a laser, called Nd:YAG laser capsulotomy, after the type of laser used. The laser can be aimed very accurately, and the small part of the capsule which is cut falls harmlessly to the bottom of the inside of the eye.
In the early 1980s, Danièle Aron-Rosa and colleagues introduced the neodymium-doped yttrium aluminum garnet laser (Nd:YAG laser) for posterior capsulotomy. [7] In 1985, Thomas Mazzocco developed and implanted the first foldable IOL. Graham Barrett and associates pioneered the use of silicone, acrylic, and hydrogel lenses. [7]
Posterior capsular rupture, a tear in the posterior capsule of the natural lens, is the most-common complication during cataract surgery. [21] Posterior capsule rupture can cause lens fragments to be retained, corneal oedema, and cystoid macular oedema; it is also associated with increased risk of endophthalmitis and retinal detachment. [21] [23]
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