Monocular diplopia after neodymium: YAG laser capsulotomy.
OBJECTIVE
To present an unusual complication of posterior capsulotomy such as monocular diplopia and to discuss the importance of capsulotomy size.


METHODS



METHODS
A 57-year old man came to our clinic complaining of horizontal monocular diplopia in his right eye for the past 3 days. The patient had undergone a Nd:YAG capsulotomy in this eye 3 weeks before. Slit-lamp biomicroscopy under pupil dilation revealed a small capsulotomy and a considerable Elschnig pearl as the presumable cause of the diplopia. The rest of the examination was completely normal.


RESULTS
After repeat Nd:YAG capsulotomy treatment, the diplopia disappeared.


CONCLUSIONS
Capsulotomy size is a significant factor to consider when treating a posterior capsular opacification. A capsulotomy that is larger than the pupil diameter under scotopic conditions may avoid disturbances of vision such as monocular diplopia.
García Medina
José Javier
JJ
Department of Ophthalmology, University Hospital Doctor Peset, Valencia, Spain. josegarciam@yahoo.com
García Medina
Manuel
M
Pinazo Durán
María Dolores
MD
Suarez-Varela
María Morales
MM
D002387:Cataract Extraction / Q000009:adverse effects*; D004172:Diplopia / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D015349:Vision, Monocular