Accidental macular hole following Neodymium:YAG posterior capsulotomy
Introduction. Posterior capsular opacification (PCO) is the commonest complication of cataract surgery, occurring in up to one-third of patients in a period of five years. The treatment of choice is the Neodymium:YAG laser posterior capsulotomy. This treatment can be associated with several...
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doaj-9aac9a150cf34efd9c6610a28a678a392021-01-02T00:53:23ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792014-01-011427-846847110.2298/SARH1408468M0370-81791408468MAccidental macular hole following Neodymium:YAG posterior capsulotomyMunteanu Mihnea0Petrović Žarko1Stanca Horia2Rosca Cosmin3Jianu Adelina4Boruga Ovidiu5University of Medicine and Pharmacy, Department of Ophthalmology, “Victor Babeş” Timisoara, Romania„Đorđe Joanović” General Hospital, Department of Ophthalmology, Zrenjanin“Carol Davila” University of Medicine and Pharmacy, Department of Ophthalmology, Bucharest, Romania“Optilens” Clinic of Ophthalmology, Cluj-Napoca, Romania“Victor Babeş” University of Medicine and Pharmacy, Department of Anatomy and Embryology, Timisoara, RomaniaUniversity of Medicine and Pharmacy, Department of Ophthalmology, “Victor Babeş” Timisoara, RomaniaIntroduction. Posterior capsular opacification (PCO) is the commonest complication of cataract surgery, occurring in up to one-third of patients in a period of five years. The treatment of choice is the Neodymium:YAG laser posterior capsulotomy. This treatment can be associated with several complications, some of them severe. A rare complication of this procedure is the accidental induced macular hole. Case Outline. A 54-year-old female patient was referred to our Department because of a severe loss of vision and a central scotoma at the right eye. The patient underwent a Nd:YAG posterior capsulotomy 2 days ago, for a PCO. The fundus examination at presentation revealed a round retinal defect in the macular region, a massive inferior preretinal hemorrhage and a mild vitreous hamorrhage. A 6-months follow-up of the case, including retinography and fluorescein angiography, is presented. Conclusion. Although the Nd:YAG laser capsulotomy is a safe, noninvasive, and effective outpatient procedure to improve vision hindered by PCO, it must be recognized that it carries a low but definite risk of serious complications. Physicians and patients should be aware of these rare but severe complications regarding this otherwise safe procedure. Fortunately, most of the complications related to this procedure are transient and can be managed by proper medication.http://www.doiserbia.nb.rs/img/doi/0370-8179/2014/0370-81791408468M.pdfNeodymium:YAG laserposterior capsulotomymacular hole |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Munteanu Mihnea Petrović Žarko Stanca Horia Rosca Cosmin Jianu Adelina Boruga Ovidiu |
spellingShingle |
Munteanu Mihnea Petrović Žarko Stanca Horia Rosca Cosmin Jianu Adelina Boruga Ovidiu Accidental macular hole following Neodymium:YAG posterior capsulotomy Srpski Arhiv za Celokupno Lekarstvo Neodymium:YAG laser posterior capsulotomy macular hole |
author_facet |
Munteanu Mihnea Petrović Žarko Stanca Horia Rosca Cosmin Jianu Adelina Boruga Ovidiu |
author_sort |
Munteanu Mihnea |
title |
Accidental macular hole following Neodymium:YAG posterior capsulotomy |
title_short |
Accidental macular hole following Neodymium:YAG posterior capsulotomy |
title_full |
Accidental macular hole following Neodymium:YAG posterior capsulotomy |
title_fullStr |
Accidental macular hole following Neodymium:YAG posterior capsulotomy |
title_full_unstemmed |
Accidental macular hole following Neodymium:YAG posterior capsulotomy |
title_sort |
accidental macular hole following neodymium:yag posterior capsulotomy |
publisher |
Serbian Medical Society |
series |
Srpski Arhiv za Celokupno Lekarstvo |
issn |
0370-8179 |
publishDate |
2014-01-01 |
description |
Introduction. Posterior capsular opacification (PCO) is the commonest
complication of cataract surgery, occurring in up to one-third of patients
in a period of five years. The treatment of choice is the Neodymium:YAG
laser posterior capsulotomy. This treatment can be associated with several
complications, some of them severe. A rare complication of this procedure is
the accidental induced macular hole. Case Outline. A 54-year-old female
patient was referred to our Department because of a severe loss of vision
and a central scotoma at the right eye. The patient underwent a Nd:YAG
posterior capsulotomy 2 days ago, for a PCO. The fundus examination at
presentation revealed a round retinal defect in the macular region, a
massive inferior preretinal hemorrhage and a mild vitreous hamorrhage. A
6-months follow-up of the case, including retinography and fluorescein
angiography, is presented. Conclusion. Although the Nd:YAG laser capsulotomy
is a safe, noninvasive, and effective outpatient procedure to improve vision
hindered by PCO, it must be recognized that it carries a low but definite
risk of serious complications. Physicians and patients should be aware of
these rare but severe complications regarding this otherwise safe procedure.
Fortunately, most of the complications related to this procedure are
transient and can be managed by proper medication. |
topic |
Neodymium:YAG laser posterior capsulotomy macular hole |
url |
http://www.doiserbia.nb.rs/img/doi/0370-8179/2014/0370-81791408468M.pdf |
work_keys_str_mv |
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