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Comparison of two laser capsulotomy techniques: cruciate versus circular.
- Source :
-
Seminars in ophthalmology [Semin Ophthalmol] 2014 May; Vol. 29 (3), pp. 151-5. Date of Electronic Publication: 2014 Jan 29. - Publication Year :
- 2014
-
Abstract
- Purpose: To compare the safety and efficacy of two Nd: YAG laser capsulotomy techniques.<br />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.<br />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).<br />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.
Details
- Language :
- English
- ISSN :
- 1744-5205
- Volume :
- 29
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Seminars in ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- 24475914
- Full Text :
- https://doi.org/10.3109/08820538.2013.874467