Lysis of vitreous strands with neodymium: YAG laser.
Eighteen eyes with vitreous strands adherent to the corneoscleral wounds of previous cataract surgery were treated with neodymium: YAG laser to lyse those strands. Twelve eyes were treated for management of cystoid macular edema (CME group); six eyes were treated for prophylaxis of possible CME (prophylactic group). In the CME group, visual acuity improved two or more lines in nine eyes (75.0%), and seven eyes had a post laser visual acuity of 0.5 or better (One eye had a pre-treatment visual acuity of 0.5 or better). In the prophylactic group, visual acuity was either maintained at the pre-treatment visual acuity of 0.5 or better. In the prophylactic group, visual acuity was either maintained at the pre-treatment level or improved in five eyes (83.3%) 18 months later following laser treatment. This procedure was complicated by retinal detachment in one case and the elevation of intraocular pressure over 10 mmHg in another case.
Tchah
H
H
Department of Ophthalmology, Asan Medical Center, Ulsan University, Seoul, Korea.
Lindstrom
R L
RL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000009:adverse effects; D005128:Eye Diseases / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D053685:Laser Therapy; D008269:Macular Edema / Q000517:prevention & control / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014792:Visual Acuity; D014822:Vitreous Body / Q000601:surgery*