Muhammad Amin Shaikh, Syed Imtiaz Ali Shah, Shahid Jamal Siddiqui, Altaf Hussain Shaikh, Khalid Rasul Shaikh.
The Short Term and Long Term Complications of Racquet Shaped Nd: Yag Laser Posterior Capsulotomy.
Ophthalmol Update Jan ;12(4):270-2.

Aims of Study: To document the short term and long term complications of Racquet shaped Nd: YAG laser posterior capsulotomy. Study Design: Prospective observational study. Place and Duration: Department of Ophthalmology Chandka Medical College Civil Hospital Larkana from March 2009 to March 2011. Patients and methods: The study comprises 500 patients selected from OPD from March 2009 to March 2011, who underwent Nd: YAG laser posterior capsulotomy in a Racquet shaped pattern. Abraham capsulotomy contact lens was placed onto the eye. The aiming beam was focused on the posterior capsule 1 mm inside the IOL edge. Nd: YAG laser was applied to create a racquet shaped opening in the posterior capsule. Result: In this study there were 260 males and 240 females with mean age of 61.4 years. The mean duration between cataract surgery and capsulotomy was 1.4 years. At last follow up the visual acuity improved in 86.3 % cases. Mean laser shots applied were 22.3 (SD=6.5) with a mean power 1.3 ml SD (.04). Acute complications in first week included bleeding from iris, pitting to the IOL, hanging flap, transient rise in intraocular pressure, transient anterior chamber reaction, cystoid macular edema which resolved over a period of six months. Retinal detachment was noted in six cases after a period of at least two years follow up. Conclusion: Racquet shaped Nd: YAG laser poster capsulotorny is a safe and effective procedure which can be adopted by skilled ophthalmologists without any significant harm to the patients.

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