Perforation rosette of the lens after Nd:YAG laser iridotomy.
OBJECTIVE
To describe an unreported complication of Nd:YAG laser iridotomy.


METHODS
We examined a 31-year-old patient with pigment dispersion syndrome and moderately increased intraocular pressure whose left eye had been treated prophylactically with Nd:YAG laser iridotomy and who complained of blurred vision thereafter.


RESULTS
Slit-lamp examination of the left eye disclosed a typical perforation rosette of the posterior pole of the crystalline lens with a perforation of the anterior lens capsule under the iridotomy site and pigment within the lens. Opacity regressed spontaneously, and vision returned to normal.


CONCLUSIONS
A perforation rosette of the lens can occur after Nd:YAG laser iridotomy and should be considered a possible serious complication of the procedure.
Wollensak
G
G
Department of Ophthalmology, University of Freiburg i Br, Germany.
Eberwein
P
P
Funk
J
J
D000328:Adult; D002386:Cataract / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D017889:Exfoliation Syndrome / Q000601:surgery*; D015807:Eye Injuries, Penetrating / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D007429:Intraocular Pressure; D007498:Iris / Q000601:surgery*; D053685:Laser Therapy / Q000009:adverse effects*; D007903:Lens Capsule, Crystalline / Q000293:injuries / Q000473:pathology / Q000503:physiopathology; D007908:Lens, Crystalline / Q000293:injuries* / Q000473:pathology / Q000503:physiopathology; D008297:Male; D014792:Visual Acuity