Korean J Ophthalmol.  1990 Jun;4(1):34-39. 10.3341/kjo.1990.4.1.34.

Lysis of vitreous strands with neodymium: YAG laser

Affiliations
  • 1Department of Ophthalmology, Asan Medical Center, Ulsan University, Seoul, Korea.
  • 2Philips Eye Institude Department of Ophthalmology, VA Hospital, Minneapolis, Minnesota, U.S.A.

Abstract

Eighteen eyes with vitreous strands adherent to the corneoscleral wounds of previous cataract surgery were treated with neodymium: YAG laser to lyse those strands. Twelve eyes were treated for management of cystoid macular edema (CME group); six eyes were treated for prophylaxis of possible CME (prophylactic group). In the CME group, visual acuity improved two or more lines in nine eyes (75.0%), and seven eyes had a post laser visual acuity of 0.5 or better (One eye had a pre-treatment visual acuity of 0.5 or better). In the prophylactic group, visual acuity was either maintained at the pre-treatment visual acuity of 0.5 or better. In the prophylactic group, visual acuity was either maintained at the pre-treatment level or improved in five eyes (83.3%) 18 months later following laser treatment. This procedure was complicated by retinal detachment in one case and the elevation of intraocular pressure over 10 mmHg in another case.

Keyword

neodymium: YAG laser; lysis; vitreous strand; cataract surgery; cystoid macular edema

MeSH Terms

Adult
Aged
Aged, 80 and over
Cataract Extraction/adverse effects
Eye Diseases/etiology/surgery
Female
Humans
*Laser Therapy
Macular Edema/prevention & control/*surgery
Male
Middle Aged
Visual Acuity
Vitreous Body/*surgery
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