RESUMEN
Capsulotomy with neodymium-doped yttriumaluminum-garnet (Nd:YAG) laser is an effective treatment for posterior capsule opacification following cataract surgery. A wide opening of the posterior capsule associated with the ruptured anterior hyaloid can cause anterior chamber vitreous prolapse. Two patients who developed angle-closure glaucoma associated with vitreous prolapse following Nd:YAG laser posterior capsulotomy were successfully treated with antiglaucoma medication and peripheral iridotomies. Patient identification for potential risk factors and a careful postoperative follow-up are essential to avoid these serious complications.
Asunto(s)
Opacificación Capsular , Extracción de Catarata , Glaucoma de Ángulo Cerrado , Terapia por Láser , Láseres de Estado Sólido , Cápsula del Cristalino , Humanos , Cápsula del Cristalino/cirugía , Neodimio , Glaucoma de Ángulo Cerrado/etiología , Glaucoma de Ángulo Cerrado/cirugía , Capsulotomía Posterior , Itrio , Extracción de Catarata/efectos adversos , Prolapso , Terapia por Láser/efectos adversos , Complicaciones Posoperatorias/etiología , Láseres de Estado Sólido/efectos adversosRESUMEN
ABSTRACT Capsulotomy with neodymium-doped yttrium--aluminum-garnet (Nd:YAG) laser is an effective treatment for posterior capsule opacification following cataract surgery. A wide opening of the posterior capsule associated with the ruptured anterior hyaloid can cause anterior chamber vitreous prolapse. Two patients who developed angle-closure glaucoma associated with vitreous prolapse following Nd:YAG laser posterior capsulotomy were successfully treated with antiglaucoma medication and peripheral iridotomies. Patient identification for potential risk factors and a careful postoperative follow-up are essential to avoid these serious complications.