Neodymium:YAG laser anterior capsulotomy for capsular contraction syndrome.
OBJECTIVE
This study presents the outcome of neodymium:YAG laser anterior capsulotomy for capsular contraction syndrome, the safety profile and effectiveness of which are unclear.


METHODS
Records of 32 patients with a minimum of 3 months of follow-up were reviewed retrospectively. The procedure was considered successful if all of the following criteria were met: centered intraocular lens (IOL) or no obvious change in IOL centration post-capsulotomy, no evidence of re-phimosis in the follow-up period; and no further requirement for surgical intervention due to capsular contraction syndrome in the follow-up period or complications were recorded.


RESULTS
The procedure was successful in 25 case; (78%). Failed cases (n = 7, 22.0%) included 5 cases of re-phimosis and 2 cases with progressive IOL decentration. The failure rate was higher in cases with preoperative IOL decentration (P< .01).


CONCLUSIONS
Neodymium:YAG laser anterior capsulotomy was successful in the majority of cases. The failure rate was higher with preoperative IOL decentration.
Wolverhampton & Midland Counties Eye Infirmary, Wolverhampton, United Kingdom.
Sunil P
SP
Deokule
Subhanjan S
SS
Mukherjee
Chris K S
CK
Chew
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003286:Contracture / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000209:etiology / Q000473:pathology / Q000601:surgery; D006801:Humans; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000473:pathology / Q000601:surgery*; D007905:Lens Diseases / Q000601:surgery*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects; D011183:Postoperative Complications; D012086:Reoperation; D012189:Retrospective Studies; D013577:Syndrome; D016896:Treatment Outcome; D014792:Visual Acuity