Retinal detachment as a complication of neodymium: yttrium aluminum garnet laser cyclophotocoagulation.
We report a traction retinal detachment that developed within one month of transscleral neodymium: yttrium aluminum garnet (Nd:YAG) laser cyclophotocoagulation, a previously unreported complication of the new cyclodestructive procedure. A 17-year-old boy was referred to our department with uncontrolled aphakic glaucoma OD after having undergone cyclocryotherapy twice. Three treatments with transscleral Nd:YAG cyclophotocoagulation were done over nine months to lower his intraocular pressure. Hypotony and traction retinal detachment occurred after the third laser treatment and was managed successfully by vitrectomy with a fluid-gas exchange. Thus, the possibility of this additional complication should be remembered when doing transscleral Nd:YAG cyclophotocoagulation.
Department of Ophthalmology, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Israel.
O
O
Geyer
M
M
Neudorfer
M
M
Lazar
D000293:Adolescent; D002924:Ciliary Body / Q000601:surgery*; D005901:Glaucoma / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D017075:Laser Coagulation / Q000009:adverse effects*; D008297:Male; D012163:Retinal Detachment / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D012591:Scleral Buckling; D014463:Ultrasonography; D014792:Visual Acuity