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.
Capsule Opacification , Cataract Extraction , Glaucoma, Angle-Closure , Laser Therapy , Lasers, Solid-State , Lens Capsule, Crystalline , Humans , Lens Capsule, Crystalline/surgery , Neodymium , Glaucoma, Angle-Closure/etiology , Glaucoma, Angle-Closure/surgery , Posterior Capsulotomy , Yttrium , Cataract Extraction/adverse effects , Prolapse , Laser Therapy/adverse effects , Postoperative Complications/etiology , Lasers, Solid-State/adverse effects
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.
