Abstract

Optic coherence tomography (OCT) evaluation of the choroid, retina, and retinal nerve fiber layer after uncomplicated yttrium-aluminum-garnet (YAG) laser capsulotomy. OCT analysis of retinal and choroidal structures was performed in 28 eyes of 28 patients following routine examinations before and 24 h, 72 h, 2 weeks, 4 weeks, and 12 weeks after YAG laser capsulotomy. Data were analyzed using the SPSS software. Data collected before YAG capsulotomy and at the above mentioned follow-up visits are summarized as follows. Mean central subfoveal choroidal thickness before YAG capsulotomy was 275.85 ± 74.78 µm; it was 278.46 ± 83.46 µm, 283.39 ± 82.84 µm, 280.00 ± 77.16 µm, 278.37 ± 76.95 µm, and 278.67 ± 76.20 µm after YAG capsulotomy, respectively. Central macular thickness was 272.14 ± 25.76 µm before YAG capsulotomy; it was 266.53 ± 26.47 µm, 269.14 ± 27.20 µm, 272.17 ± 26.97 µm, 270.91 ± 26.79 µm, and 273 ± 26.63 µm after YAG capsulotomy, respectively. Mean retinal nerve fiber layer thickness before YAG was 99.89 ± 7.61 µm; it was 98.50 ± 8.62 µm, 98.14 ± 8.69 µm, 99.60 ± 8.39 µm, 99.60 ± 8.39 µm, and 99.60 ± 8.35 µm after YAG capsulotomy, respectively. No observed change was statistically significant. No significant changes were observed with regard to mean intraocular pressure. After YAG laser capsulotomy, no statistically significant changes were found in choroidal, retinal, and optical nerve fiber layer thicknesses, although slight thickness changes in these structures were observed, particularly during the first days.

Highlights

  • Despite changes in lens design and advances in surgical techniques, the development of posterior capsular opacification (PCO) is the most common complication following cataract surgery

  • Estruturas da retina e coroide foram analisados usando ACT nos exames de rotina antes da capsulotomia posterior por YAG laser e 24 horas, 72 horas, 2 semanas, 4 semanas e 12 semanas após YAG

  • We aimed to identify whether there were any changes at the 72-h follow-up, when inflammation after the procedure is high,and at 8-12 weeks after the procedure, when cystoid macular edema (CME) development is expected

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Summary

Introduction

Despite changes in lens design and advances in surgical techniques, the development of posterior capsular opacification (PCO) is the most common complication following cataract surgery. Some complications may occur after YAG capsulotomy[1,2,3]. Changes in intraocular pressure are frequently observed following YAG capsulotomy[4] and may have an impact on the choroid, which is sensitive to fluctuations inintraocular pressure (IOP). The probability of a reaction in the retina and choroid structures induced by the inflammation that may occur in the first days of the procedure should be considered. Retinal complications that may emerge later affect the choroid tissue. Various studies associated with anterior chamber and retinal changes in patients who have undergone YAG capsulotomy have been published[4,5,6]. To the best of our knowledge, there are no publications regarding choroi­dal change

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