Neodymium:YAG laser capsulotomy in vitrectomized pseudophakic eyes with persistent endotamponade

Purpose: To evaluate the feasibility and limits of neodymium:YAG (Nd:YAG) laser capsulotomy in eyes with persistent endotamponade. Setting: Department of Ophthalmology, University Cologne, Cologne, Germany. Methods: In this consecutive series, an Nd:YAG laser capsulotomy was performed by 1 surgeon i...

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Veröffentlicht in:Journal of cataract and refractive surgery 2003-12, Vol.29 (12), p.2385-2389
Hauptverfasser: Dietlein, Thomas S, Lüke, Christoph, Jacobi, Philipp C, Kirchhof, Bernd, Krieglstein, Guenter K
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container_end_page 2389
container_issue 12
container_start_page 2385
container_title Journal of cataract and refractive surgery
container_volume 29
creator Dietlein, Thomas S
Lüke, Christoph
Jacobi, Philipp C
Kirchhof, Bernd
Krieglstein, Guenter K
description Purpose: To evaluate the feasibility and limits of neodymium:YAG (Nd:YAG) laser capsulotomy in eyes with persistent endotamponade. Setting: Department of Ophthalmology, University Cologne, Cologne, Germany. Methods: In this consecutive series, an Nd:YAG laser capsulotomy was performed by 1 surgeon in 6 eyes with posterior capsule opacification (PCO) and persistent endotamponade caused by proliferative vitreoretinopathy. The endotamponade was with silicone oil (5000 centistokes) in 5 eyes and with perfluorohexyloctane (F 6H 8) in 1 eye. Also evaluated were 6 vitrectomized eyes without endotamponade that had an Nd:YAG laser capsulotomy for PCO by the same surgeon. All 12 eyes were pseudophakic. The mean follow-up after capsulotomy was approximately 6 months (range 2 to 12 months). Follow-up examinations included visual acuity, intraocular pressure measurement, and IOL centration and capsule reopacification evaluation. Results: The total energy required was higher in eyes with persistent endotamponade. In 3 of these eyes, the laser capsulotomy could not be successfully completed and was surgically enhanced. The laser capsulotomy in eyes without endotamponade was successful in all cases. Complete reopacification occurred in 2 eyes with persistent endotamponade within 2 months and in no eye without endotamponade. Improvement in visual acuity was limited in all eyes because of retinal pathology. Conclusions: Neodymium:YAG laser capsulotomy in pseudophakic eyes with persistent endotamponade was successful but had a relatively high reintervention rate. The visual prognosis was limited in all cases because of retinal pathology.
doi_str_mv 10.1016/S0886-3350(03)00248-7
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Setting: Department of Ophthalmology, University Cologne, Cologne, Germany. Methods: In this consecutive series, an Nd:YAG laser capsulotomy was performed by 1 surgeon in 6 eyes with posterior capsule opacification (PCO) and persistent endotamponade caused by proliferative vitreoretinopathy. The endotamponade was with silicone oil (5000 centistokes) in 5 eyes and with perfluorohexyloctane (F 6H 8) in 1 eye. Also evaluated were 6 vitrectomized eyes without endotamponade that had an Nd:YAG laser capsulotomy for PCO by the same surgeon. All 12 eyes were pseudophakic. The mean follow-up after capsulotomy was approximately 6 months (range 2 to 12 months). Follow-up examinations included visual acuity, intraocular pressure measurement, and IOL centration and capsule reopacification evaluation. Results: The total energy required was higher in eyes with persistent endotamponade. In 3 of these eyes, the laser capsulotomy could not be successfully completed and was surgically enhanced. The laser capsulotomy in eyes without endotamponade was successful in all cases. Complete reopacification occurred in 2 eyes with persistent endotamponade within 2 months and in no eye without endotamponade. Improvement in visual acuity was limited in all eyes because of retinal pathology. Conclusions: Neodymium:YAG laser capsulotomy in pseudophakic eyes with persistent endotamponade was successful but had a relatively high reintervention rate. The visual prognosis was limited in all cases because of retinal pathology.</description><identifier>ISSN: 0886-3350</identifier><identifier>EISSN: 1873-4502</identifier><identifier>DOI: 10.1016/S0886-3350(03)00248-7</identifier><identifier>PMID: 14709301</identifier><identifier>CODEN: JCSUEV</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cataract - etiology ; Female ; Fluorocarbons - therapeutic use ; Humans ; Laser Therapy ; Lens Capsule, Crystalline - pathology ; Lens Capsule, Crystalline - surgery ; Male ; Medical sciences ; Middle Aged ; Postoperative Complications ; Prognosis ; Prospective Studies ; Pseudophakia - surgery ; Reoperation ; Silicone Oils - therapeutic use ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Setting: Department of Ophthalmology, University Cologne, Cologne, Germany. Methods: In this consecutive series, an Nd:YAG laser capsulotomy was performed by 1 surgeon in 6 eyes with posterior capsule opacification (PCO) and persistent endotamponade caused by proliferative vitreoretinopathy. The endotamponade was with silicone oil (5000 centistokes) in 5 eyes and with perfluorohexyloctane (F 6H 8) in 1 eye. Also evaluated were 6 vitrectomized eyes without endotamponade that had an Nd:YAG laser capsulotomy for PCO by the same surgeon. All 12 eyes were pseudophakic. The mean follow-up after capsulotomy was approximately 6 months (range 2 to 12 months). Follow-up examinations included visual acuity, intraocular pressure measurement, and IOL centration and capsule reopacification evaluation. Results: The total energy required was higher in eyes with persistent endotamponade. In 3 of these eyes, the laser capsulotomy could not be successfully completed and was surgically enhanced. The laser capsulotomy in eyes without endotamponade was successful in all cases. Complete reopacification occurred in 2 eyes with persistent endotamponade within 2 months and in no eye without endotamponade. Improvement in visual acuity was limited in all eyes because of retinal pathology. Conclusions: Neodymium:YAG laser capsulotomy in pseudophakic eyes with persistent endotamponade was successful but had a relatively high reintervention rate. The visual prognosis was limited in all cases because of retinal pathology.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cataract - etiology</subject><subject>Female</subject><subject>Fluorocarbons - therapeutic use</subject><subject>Humans</subject><subject>Laser Therapy</subject><subject>Lens Capsule, Crystalline - pathology</subject><subject>Lens Capsule, Crystalline - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Pseudophakia - surgery</subject><subject>Reoperation</subject><subject>Silicone Oils - therapeutic use</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Visual Acuity</topic><topic>Vitrectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dietlein, Thomas S</creatorcontrib><creatorcontrib>Lüke, Christoph</creatorcontrib><creatorcontrib>Jacobi, Philipp C</creatorcontrib><creatorcontrib>Kirchhof, Bernd</creatorcontrib><creatorcontrib>Krieglstein, Guenter K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cataract and refractive surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dietlein, Thomas S</au><au>Lüke, Christoph</au><au>Jacobi, Philipp C</au><au>Kirchhof, Bernd</au><au>Krieglstein, Guenter K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neodymium:YAG laser capsulotomy in vitrectomized pseudophakic eyes with persistent endotamponade</atitle><jtitle>Journal of cataract and refractive surgery</jtitle><addtitle>J Cataract Refract Surg</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>29</volume><issue>12</issue><spage>2385</spage><epage>2389</epage><pages>2385-2389</pages><issn>0886-3350</issn><eissn>1873-4502</eissn><coden>JCSUEV</coden><abstract>Purpose: To evaluate the feasibility and limits of neodymium:YAG (Nd:YAG) laser capsulotomy in eyes with persistent endotamponade. Setting: Department of Ophthalmology, University Cologne, Cologne, Germany. Methods: In this consecutive series, an Nd:YAG laser capsulotomy was performed by 1 surgeon in 6 eyes with posterior capsule opacification (PCO) and persistent endotamponade caused by proliferative vitreoretinopathy. The endotamponade was with silicone oil (5000 centistokes) in 5 eyes and with perfluorohexyloctane (F 6H 8) in 1 eye. Also evaluated were 6 vitrectomized eyes without endotamponade that had an Nd:YAG laser capsulotomy for PCO by the same surgeon. All 12 eyes were pseudophakic. The mean follow-up after capsulotomy was approximately 6 months (range 2 to 12 months). Follow-up examinations included visual acuity, intraocular pressure measurement, and IOL centration and capsule reopacification evaluation. Results: The total energy required was higher in eyes with persistent endotamponade. In 3 of these eyes, the laser capsulotomy could not be successfully completed and was surgically enhanced. The laser capsulotomy in eyes without endotamponade was successful in all cases. Complete reopacification occurred in 2 eyes with persistent endotamponade within 2 months and in no eye without endotamponade. Improvement in visual acuity was limited in all eyes because of retinal pathology. Conclusions: Neodymium:YAG laser capsulotomy in pseudophakic eyes with persistent endotamponade was successful but had a relatively high reintervention rate. The visual prognosis was limited in all cases because of retinal pathology.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>14709301</pmid><doi>10.1016/S0886-3350(03)00248-7</doi><tpages>5</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Cataract - etiology
Female
Fluorocarbons - therapeutic use
Humans
Laser Therapy
Lens Capsule, Crystalline - pathology
Lens Capsule, Crystalline - surgery
Male
Medical sciences
Middle Aged
Postoperative Complications
Prognosis
Prospective Studies
Pseudophakia - surgery
Reoperation
Silicone Oils - therapeutic use
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Visual Acuity
Vitrectomy
title Neodymium:YAG laser capsulotomy in vitrectomized pseudophakic eyes with persistent endotamponade
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