Posterior Capsular Opacification

Central PCO obscuring the visual axis can be treated with either surgical intervention, such as posterior capsule scraping or with a nonsurgical Nd:YAG laser capsulotomy.

The latter method has received wide acceptance. The need for performing capsulotomy depends on the patient's functional impairment of vision, discomfort, demand and the presence of associated risk factors such as high myopia, history of retinal detachment, high risk of cystoids macular edema and only functioning eye.

A size that is larger than the pupil diameter under scotopic conditions may prevent disturbances of vision such as monocular diplopia.[93] The clinical complications from Nd:YAG laser capsulotomy include a rise in intraocular pressure, glaucoma, cystoid macular edema and retinal detachment. Nd:YAG laser capsulotomy induces changes in the development and morphology of regeneratory PCO. This response is different with different IOL materials.

Silicone and PMMA IOLs led to significant pearl formation on the capsulotomy margin, often combined with a reduction of peripheral regeneratory PCO (silicone). Hydrogel IOLs led to a higher incidence of reclosure of the Nd:YAG capsulotomy opening. Eyes with acrylic IOLs had no change in regeneratory PCO after the capsulotomy. 5 of 8Previous PageNext Page

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