1. Comparison of two laser capsulotomy techniques: cruciate versus circular.
- Author
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Kara N, Evcimen Y, Kirik F, Agachan A, and Yigit FU
- Subjects
- Adult, Aged, Aged, 80 and over, Female, Humans, Intraocular Pressure physiology, Male, Middle Aged, Prospective Studies, Visual Acuity physiology, Capsule Opacification surgery, Lasers, Solid-State therapeutic use, Posterior Capsule of the Lens surgery, Posterior Capsulotomy methods
- Abstract
Purpose: To compare the safety and efficacy of two Nd: YAG laser capsulotomy techniques., Methods: In this prospective comparative interventional case series, 60 eyes of 57 patients with posterior capsular opacification were enrolled. Thirty eyes were selected to undergo a cruciate capsulotomy (Cross group) and the other 30 eyes were selected to undergo a circular capsulotomy (Circular group). Main outcome measures were best-corrected visual acuity (BCVA), intraocular pressure (IOP), amount of energy used, mean macular thickness (MMT), and floater symptoms., Results: The amount of energy used was significantly higher in the Circular group than in the Cross group (p < 0.001). BCVA and IOP were not significantly different between the two groups at baseline or follow-up. MMT was significantly higher in the Circular group than in the Cross group at one day after the laser procedure (p = 0.032). MMT was not significantly different between groups at one week, one month, and three months (p > 0.05). The number of patients with floater symptoms was significantly higher in the Circular group than in the Cross group at one week and one month (p < 0.05)., Conclusion: Both the cross-like and circular Nd:YAG laser capsulotomy techniques induce similar visual and IOP changes. The circular technique is associated with a higher amount of energy used, more floater symptoms, and has a greater effect on macular thickness at one day after laser capsulotomy.
- Published
- 2014
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