| Yazarlar |
Hamıdu Hamısı Gobeka
Türkiye |
|
Furkan Fatih Gülyeşil
Türkiye |
Dr. Öğr. Üyesi Mehmet Cem SABANER
Türkiye |
| Özet |
| Capsular bag distension syndrome (CBDS) can be effectively treated using either Neodymium-doped Yttrium Aluminum Garnet (Nd:YAG) laser capsulotomy or surgery. Assessing anterior segment, particularly immediately after Nd:YAG laser capsulotomy, could provide clinically relevant information on ocular dynamics, refractive changes, and complication mechanisms, especially in late postoperative CBDS. To explore the acute effects of Nd:YAG laser posterior capsulotomy on anterior segment parameters in late postoperative CBDS. In this study, 20 patients underwent Nd:YAG laser posterior capsulotomy after cycloplegia, during which milky-white fluid material migrated into the anterior vitreous. Anterior segment parameters were assessed before and immediately after laser using Scheimpflug-Placido topographer. The main outcome measures were differences in best-corrected visual acuity (BCVA), aqueous depth (AqD), anterior chamber volume (ACV), iridocorneal angle (ICA), corneal volume (CV), and central corneal thickness (CCT) at the baseline versus at immediately after laser. The mean age and duration since surgery for CBDS presentation were 70.25 ± 6.21 and 6.15 ± 1.31 years, respectively. The AqD, ACV, ICA, and spherical equivalent increased significantly compared with baseline (4.18 vs. 4.02 mm, = 0.001; 177 vs. 173.55 mm, = 0.004; 51.15° vs. 50.15°, = 0.023; -1.00 vs. -2.00 D, = 0.003, respectively). These changes were also associated with significantly improved BCVA an hour after capsulotomy [0.2 (0.05-0.2)] relative to baseline [0.3 (0.2-0.5)], ( = 0.001). CCT and CV decreased nonsignificantly; horizontal AC diameter and K and K increased nonsignificantly ( > 0.05). Nd:YAG laser posterior capsulotomy appears to be an effective CBDS treatment for acutely improving vision, potentially due to immediate refractive changes caused by altered anterior segment parameters. |
| Anahtar Kelimeler |
| acute effects,anterior segment,capsular bag distension syndrome,posterior capsulotomy,Nd,YAG laser,intraocular lens |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | Photobiomodulation, Photomedicine, and Laser Surgery |
| Dergi ISSN | 2578-5478 |
| Dergi Tarandığı Indeksler | SCI-Expanded |
| Dergi Grubu | Q2 |
| Makale Dili | İngilizce |
| Basım Tarihi | 01-2023 |
| Cilt No | 41 |
| Doi Numarası | 10.1089/photob.2022.0151 |
| Makale Linki | http://dx.doi.org/10.1089/photob.2022.0151 |
| Atıf Sayıları |
