title: Treatment of late-onset capsular distension syndrome with a neodymium:YAG laser peripheral iridotomy and anterior capsulotomy.
abstract: We describe a new approach to treat late-onset capsular distension syndrome in which the fluid in the capsular bag is cloudy and prevents a posterior neodymium:YAG (Nd:YAG) laser capsulotomy. A peripheral laser iridotomy is created through which the anterior lens capsule peripheral to the IOL optic is accessed. This opening in the iris provides an access point through which an anterior Nd:YAG laser capsulotomy can be performed. Following disruption of the anterior lens capsule, the capsular fluid is released into the anterior chamber and absorbed through the inherent drainage system of the eye. This approach avoids the need for a more invasive surgical intervention.
authors.affiliation: Glaucoma Associates of Texas, Dallas, Texas 75231, USA. dgrover@glaucomaassociates.com
authors.forename: Davinder S
authors.initials: DS
authors.lastname: Grover
authors.forename: Roger A
authors.initials: RA
authors.lastname: Goldberg
authors.forename: Bernadete
authors.initials: B
authors.lastname: Ayres
authors.forename: Francisco
authors.initials: F
authors.lastname: Fantes
mesh_terms: D019923:Capsulorhexis / Q000009:adverse effects*; D004108:Dilatation, Pathologic; D006801:Humans; D032801:Iridectomy; D007498:Iris / Q000601:surgery*; D053685:Laser Therapy; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D007905:Lens Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D008297:Male; D033401:Microscopy, Acoustic; D008875:Middle Aged; D018918:Phacoemulsification; D057852:Posterior Capsule of the Lens / Q000000981:diagnostic imaging / Q000601:surgery*; D013577:Syndrome