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Axial Myopia Increases the Risk of Retinal Complications After Neodymium-YAG Laser Posterior Capsulotomy
Douglas D. Koch, MD;
John F. Liu, MD;
E. Patricia Gill, MD;
David W. Parke II, MD
Arch Ophthalmol. 1989;107(7):986-990.
Abstract
We conducted a retrospective analysis of Q-switched neodymium-YAG laser capsulotomies performed in 122 eyes between April 1984 and June 1987. Retinal complications occurred in 3 (2.5%) of 121 eyes followed up for 1 year and in 2 (3.6%) of 55 eyes followed up for 2 years. Four eyes developed rhegmatogenous retinal detachments and 1 developed an acute symptomatic retinal tear. No patients developed clinical cystoid macular edema (visual acuity 20/30 or worse). These retinal complications were significantly correlated with axial myopia, preexisting vitreoretinal disease, male gender, younger age, vitreous prolapse into the anterior chamber, and spontaneous extension of the capsulotomy.
Author Affiliations
From Cullen Eye Institute, Baylor College of Medicine, Houston, Tex.
Footnotes
Accepted for publication March 27, 1989.
Reprint requests to Cullen Eye Institute, 6501 Fannin, NC 200, Houston, TX 77030 (Dr Koch).
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