Axial myopia increases the risk of retinal complications after neodymium-YAG laser posterior capsulotomy.
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.
Koch
D D
DD
Cullen Eye Institute, Baylor College of Medicine, Houston, Tex. 77030.
Liu
J F
JF
Gill
E P
EP
Parke
D W
DW
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000009:adverse effects*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects*; D007910:Lenses, Intraocular / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000150:complications*; D012163:Retinal Detachment / Q000209:etiology; D012164:Retinal Diseases / Q000209:etiology*; D012189:Retrospective Studies; D012307:Risk Factors