Aim of the study was to find out the visual outcome and complications following Nd YAG laser capsulotomy in postoperative posterior capsular opacification.

Materials and Methods: consist of a prospective study including 100 eyes having postoperative Posterior Capsular Opacification (PCO), attending the Ophthalmology outpatient department of a Medical College in Bengaluru during January 2021 to June 2022. A complete physical and ophthalmological examination was carried out. After taking informed consent, patients underwent Nd YAG laser capsulotomy. Post-operative follow-up was done and observed for any complications till 6 weeks.

Conclusion: Nd YAG laser capsulotomy is an effective, relatively safe and economical in the management of posterior capsular opacity. To minimise the complications, minimum energy combined with precisely focused shots of Nd YAG laser is needed for having a desired opening in the posterior opacified capsule.

Keywords: Postoperative Posterior Capsular Opacification, Nd YAG Laser capsulotomy.

1. Thulisiraj R D, Nirmalan P K, Ramakrishnan R.et al Blindness and vision impairment in a rural south Indian population: the Aravind Comprehensive Eye Survey. Ophthalmology 2003110491–498. [Google Scholar]
2. Vasavada AR, Chauhan H, Shah G. Incidence of posterior capsular plaque in cataract surgery. J. Cataract Refract Surg. 1997;23(5):798. [PubMed] [Google Scholar]
3. Chambless WS. Neodymium: YAG laser posterior capsulotomy results and complications. J Am Intraocular Implant Soc. 1985 Jan;11(1):31–2. PMID: 3838167. [PubMed] [Google Scholar]
4. Schaumberg DA, Dana MR, Christen WG, Glynn RJ. A systematic overview of the incidence of posterior capsule opacification. Ophthalmology. 1998;105:1213–1221. - PubMed
5. Spierer A, Desatnik H, Blumenthal M. Refractive status in children after long-term follow up of cataract surgery with intraocular lens implantation. J Pediatr Ophthalmol Strabismus. 1999;36:25–29. [PubMed] [Google Scholar]
6. Evaluation of visual function following neodymium: YAG laser posterior capsulotomy BV Magno, MB Datiles, MSM Lasa, MRQ Fajardo… - Ophthalmology, 1997 - Elsevier
7. Correlation between posterior capsule opacification and visual function before and after Neodymium: YAG laser posterior capsulotomy K Hayashi, H Hayashi, F Nakao, F Hayashi - American journal of …, 2003 - Elsevier
8. Ari S, Cingu AK, Sahin A, inar YC, Caca I. The effects of Nd: YAG laser posterior capsulotomy on macular thickness, intraocular pressure, and visual acuity. Ophthalmic Surg Lasers Imaging. 2012 Sep-Oct;43(5):395–400. doi: 10.3928/15428877-20120705-03. PMID: 22785102. [PubMed] [Google Scholar]
9. Steinert RF, Puliafito CA, Kumar SR, Dudak SD, Patel S. Cystoid macular edema, retinal detachment, and glaucoma after Nd:YAG laser posterior capsulotomy. Am J Ophthalmol. 1991 Oct;112(4):373–80. PMID: 1928237. [PubMed] [Google Scholar]
10. Findl O, Drexler W, Menapace R, et al. Changes in intraocular lens position after neodymium:YAG capsulotomy. J Cataract Refract Surg. 1999;25(5):659–662. [PubMed] [Google Scholar]
11. Evicman T, Ozkurt Y, Sengor T, Haboglu M, Kurna S, Aki S. Anterior chamber depth changes and complications after Nd:YAG laser treatment for posterior capsule opacification in pseudophakic eyes. Acta Ophthalmol. 2007;85(Suppl s240) [Google Scholar]
12. Wormstone IM, Eldred JA. Experimental models for posterior capsule opacification research. Exp Eye Res. 2016;142:2 doi: 10.1016/j.exer.2015.04.021. [PubMed] [CrossRef] [Google Scholar]
13. Sellman TR, Lindstrom RL. Effect of a plano-convex posterior chamber lens on capsular opacification from Elschnig pearl formation. J Cataract Refract Surg 1988;14:68–72. [PubMed] [Google Scholar][14] Jain S, Chandravanshi SL, Jain G, Tirkey E, Jain SC. Effect of ND: YAG laser capsulotomy in pseudophakic eyes with special reference to IOP changes. Journal of Evolution of Medical and Dental Sciences. 2014; 3(55):12627-35.
14. Dr J Kumar, Dr.Punam Tiwari,etal. “A study of visual outcome and complications following Nd: YAG laser posterior capsulotomy in posterior capsule opacification.” IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), 19(4), 2020, pp. 36-40.
15. Gopinath GS, Satish K, Srivastava N, Patil S, Afshan R. Visual Outcome and Complications of YAG Laser Therapy for Posterior Capsular Opacification Following Cataract Surgery. Int J Sci Stud 2015;3(3):65-68.

Dr Akhil P

Junior Resident, Rajarajeswari Medical College and Hospital, Mysore Road, Kengeri, Kambipura, Bengaluru, Karnataka – 560074