INTRAOCULAR-PRESSURE AFTER NEODYMIUM-YAG LASER TREATMENTS IN THE ANTERIOR SEGMENT

被引:28
作者
SHANI, L
DAVID, R
TESSLER, Z
ROSEN, S
SCHNECK, M
YASSUR, Y
机构
[1] The Department of Ophthalmology, Beer Sheva, Soroka Medical Center
[2] Middle East Eye Research Institute, Ben Gurion University, Beer Sheva
关键词
CAPSULOTOMY; INTRAOCULAR PRESSURE; IRIDOTOMY; ND-YAG LASER;
D O I
10.1016/S0886-3350(13)80184-8
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Intraocular pressure (IOP) increase soon after neodymium:YAG (Nd:YAG) treatments in the anterior segment has been reported. To evaluate this complication in a large sample of patients, we conducted a retrospective study of all Nd:YAG treatments during three years. Three hundred forty capsulotomies and 212 iridotomies were performed with the Q-switched Nd:YAG laser. An IOP elevation of 10 mm Hg or more within two hours of laser surgery was seen in 15 eyes (4.4%) that had a capsulotomy but in 45 eyes (21.2%) that had an iridotomy. In 13 of the 15 eyes in which the IOP increased after capsulotomy, additional risk factors (glaucoma, high myopia, aphakia) were found. Our results indicate that posterior capsulotomy with the Nd:YAG laser in otherwise healthy, pseudophakic eyes is usually not accompanied by immediate IOP elevation. Elevation can be predicted by risk factors and therefore anticipated in a small group of vulnerable patients.
引用
收藏
页码:455 / 458
页数:4
相关论文
共 14 条
[1]  
Gaasterland DE, Cummins CE, Weiblinger RP, Ocular hypertensive response to pulsed Nd/YAG discission, Invest Ophthalmol Vis Sci, 25, (1984)
[2]  
Richter CU, Arzeno G, Pappas HR, Et al., Intraocular pressure elevation following Nd:YAG laser posterior capsulotomy, Ophthalmology, 92, pp. 636-640, (1985)
[3]  
Flohr MJ, Robin AL, Kelley JS, Early complications following Q-switched neodymium:YAG laser posterior capsulotomy, Ophthalmology, 92, pp. 360-363, (1985)
[4]  
Slomovic AR, Parrish RK, Acute elevations of intraocular pressure following Nd:YAG laser posterior capsulotomy, Ophthalmology, 92, pp. 973-976, (1985)
[5]  
Robin AL, Pollack IP, A comparison of neodymium: YAG and argon laser iridotomies, Ophthalmology, 91, pp. 1011-1016, (1984)
[6]  
Klapper RM, Q-switched neodymium:YAG laser iridotomy, Ophthalmology, 91, pp. 1017-1021, (1984)
[7]  
Pollack IP, Brown RH, Crandall AS, Et al., Prevention of the rise in intraocular pressure following neodymiumYAG posterior capsulotomy using topical 1 % apraclonidine, Arch Ophthalmol, 106, pp. 754-757, (1988)
[8]  
Robin AL, The role of apraclonidine hydrochloride in laser therapy for glaucoma, Trans Am Ophthalmol Soc, 87, pp. 729-761, (1989)
[9]  
Channell MM, Beckman H, Intraocular pressure changes after neodymium-YAG laser posterior capsulotomy, Arch Ophthalmol, 102, pp. 1024-1026, (1984)
[10]  
Kumar H, Sood NN, Kalra VK, Pressure dynamics after mode-locked Nd:YAG laser iridotomy in angle-closure glaucoma, Glaucoma, 12, pp. 39-46, (1990)