POSTERIOR CAPSULOTOMY

COMPLICATION AFTER ND YAG LASER IN OUR SETUP

Authors

  • Lal Muhammad Khattak Khyber Medical University Institute of Medical Sciences Teaching Hospital. KDA Kohat, Khattak
  • Afzal Qadir Hayatabad Medical Complex, Peshawar
  • Umer Khan Hayatabad Medical Complex Orakzai, Peshawar
  • Muhammad Kashif Kamran Hayatabad Medical Complex Peshawar

DOI:

https://doi.org/10.29309/TPMJ/2014.21.01.1925

Keywords:

Nd YAG laser (Neodymium-Yttrium Aluminum Garnett),, Abraham’s lens, PCO (Posterior Capsule Opacification),, IOL (Intra-ocular Lens), IOP (Intra-Ocular Pressure),, Uveitis,, Macular edema, R/D (Retinal Detachment)

Abstract

Objective: To study the complications of ND: YAG laser capsulotomy. Design:
Clinical trial. Setting: Department of Ophthalmology KHYBER Medical University Institute of
Medical Sciences Teaching Hospital Kohat Development Authority (KDA) Kohat. Period: Jan
2007 to June 2008. Material and methods: A total number of 250 patients with posterior capsular
opacification were studied and look for complications after ND: YAG Laser application. One
hundred and thirty five (54% )were male and one hundred fifteen( 46%) patients were female.
63% of patients had right eye involvement while 37% had left eye were involved. Patients were
thoroughly examined before and after the procedure. All patients were followed for minimum six
months after the procedure. Data was analyzed by SPSS version 16. Chi square test was
calculated for the significance of analysis. Results: After Nd YAG laser capsulotomy there was
significant improvement in visual acuity of my patients. There was transient rise of IOP in 25 (10%)
of patients. Mild anterior uveitis in 20 (8.0%) of patients. Intra-ocular Lens pitting or cracks in 30
(12%) of cases. Macular edema in 20 (8.0%) of cases. Retinal detachment in 5 (2.0%) of cases.
Conclusions: Nd YAG laser is safe, effective and non-invasive procedure outdoor procedure by
which we can get better visual outcome. Which had also some serious complication for that we
have to avoid and educate the patient about the complications of procedure.

Author Biographies

Lal Muhammad Khattak, Khyber Medical University Institute of Medical Sciences Teaching Hospital. KDA Kohat, Khattak

Head of Department &
Professor of Ophthalmology

Afzal Qadir, Hayatabad Medical Complex, Peshawar

Senior Registrar

Umer Khan, Hayatabad Medical Complex Orakzai, Peshawar

Senior Registrar

Muhammad Kashif Kamran, Hayatabad Medical Complex Peshawar

Senior Registrar

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Published

2014-02-10