Intraocular pressure management after Nd:YAG laser posterior capsulotomy
Chontos N., Gkiousas K., Mprouzoukis C., Gkiousas G., Chontos T.
To view the full presentation in PDF format, please click here (2MB) 

  alt alt

Purpose: To evaluate the long-term IOP control following Nd:YAG laser capsulotomy.

Materials and methods:  We performed a retrospective study of 1000 eyes (756 patients), who underwent an Nd:YAG laser posterior capsulotomy over a 10 year period, following cataract extraction. All patients had a minimum follow-up period of at least 6 months and a median follow-up period of 2.5 years. Were classified into 4 groups: group A without personal or family history of glaucoma, group B without individual but with a family history of glaucoma, group C with glaucoma treated before, but then stopping treatment a few months after cataract surgery, group D with glaucoma treated before and after the cataract surgery with and without interruption of anti-glaucomatous treatment. In groups we defined subgroups and the number of shots, total energy, and administration of anti-glaucomatous treatment after the first day.
Results: In group A and B, in the subgroup with low energy dose in both two subcategories, did not show increased IOP. In the same groups with the highest amount of shots and energy IOP was 0 to 2,1mmHg higher. Both in Group C but mainly in Group D, the percentage of eyes with IOP increase over 5mmHg was alarmingly high.
Conclusion:  The gradual increase in IOP in glaucoma patients after LASER posterior capsulotomy is certain. In some categories of patients antiglaucomatous treatment after the first day, is not necessary.