Neovascular glaucoma following neodymium-YAG laser posterior capsulotomy.
Iris neovascularization and neovascular glaucoma were diagnosed in three diabetic patients following neodymium-YAG laser posterior capsulotomy. Each of the patients had previously undergone an uncomplicated extracapsular cataract extraction with insertion of a posterior chamber lens implant. These occurrences are consistent with the hypothesis that the posterior lens capsule may serve as a protective barrier to a diffusible vasoproliferative factor from the vitreous or retina. Both the beneficial optical effects and the potential adverse effects should be carefully considered prior to performing neodymium-YAG laser posterior capsulotomy in diabetic patients or other patients with ischemia in the fundus. Following neodymium-YAG laser posterior capsulotomy, these eyes should be closely followed up for signs of neovascularization and possible panretinal photocoagulation.
R N
RN
Weinreb
J P
JP
Wasserstrom
W
W
Parker
D002387:Cataract Extraction / Q000379:methods*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D005260:Female; D005901:Glaucoma / Q000209:etiology*; D006801:Humans; D007498:Iris / Q000098:blood supply; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D007908:Lens, Crystalline / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009389:Neovascularization, Pathologic; D011183:Postoperative Complications