This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (23)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Manfred R. Tetz, MD; David J. Apple, MD
Salt Lake City

Francis W. Price, Jr, MD
Indianapolis

Kenneth L. Piest, MD
San Antonio, Tex

Marilyn C. Kincaid, MD
Ann Arbor, Mich

Patricia E. Bath, MD
Los Angeles

Arch Ophthalmol. 1987;105(10):1324-1325.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—We present a previously undescribed complication of neodymium(ND)-YAG laser posterior capsulotomy.

Report of a Case.

—A 71-year-old man underwent an extracapsular cataract extraction (ECCE) with insertion of a posterior chamber intraocular lens (IOL) in the right eye in September 1985. The postoperative course was uneventful and visual acuity was 20/25, with no evidence of cells or flare.

A examination ten months postoperatively disclosed a decrease in visual acuity to 20/50. Posterior capsular clouding was seen, but the eye was otherwise unreactive. An Nd-YAG laser posterior capsulotomy with 43 laser bursts at a 1.5-mJ energy level was performed in July 1986. Within a few days, a severe deterioration in visual acuity occurred, and the patient complained of a foreign-body sensation and photophobia. Keratic precipitates and a 2+ cellular reaction were noted.

Initial topical 1% prednisolone treatment (one drop every two hours during the day) caused a transient decrease . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?