July 2019
Volume 60, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2019
Long-term outcome of Nd:YAG laser posterior capsulotomy in children: Procedural strategies and visual outcome
Author Affiliations & Notes
  • Hyuk Jin Choi
    Ophthalmology, Seoul National University Hospital, Seoul, Korea (the Republic of)
  • Footnotes
    Commercial Relationships   Hyuk Jin Choi, None
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    Support  None
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 2085. doi:
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      Hyuk Jin Choi; Long-term outcome of Nd:YAG laser posterior capsulotomy in children: Procedural strategies and visual outcome. Invest. Ophthalmol. Vis. Sci. 2019;60(9):2085.

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      © ARVO (1962-2015); The Authors (2016-present)

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Purpose : To evaluate the long-term outcome of neodymium:yttrium-aluminumgarnet (Nd:YAG) laser posterior capsulotomy after cataract surgery in children.

Methods : Electronic medical records of pediatric patients who underwent Nd:YAG laser posterior capsulotomy between January 1, 2008, and October 31, 2012, and followed up for more than five years were reviewed. Through evaluating each patient's behavior during slit-lamp examination and anterior segment photography, only compliant patients underwent laser treatment. The mean age at the time of laser treatment and success rate were investigated. LogMAR best-corrected visual acuity (BCVA) before and after treatment was compared and long-term stability of BCVA was evaulated. Complications of laser treatment including the recurrence of posterior capsular opacity were analyzed.

Results : Thirty one eyes of 25 patients were included. The mean age at the time of initial laser treatment was 9.04 ± 3.51 years (minimum 56 months), and the mean interval between cataract surgery and initial laser treatment was 28.1 ± 22.1 months. Posterior capsular openings were successfully made in 26 (83.9%) eyes with a single attempt and in 3 (9.7%) eyes with second attempt. Overall success rate was 93.5%. The logMAR BCVA was significantly improved from 0.61 ± 0.36 to 0.19 ± 0.25 at 1 month post-treatment (p < 0.0001) and well maintained at least for 5 years of follow-up without serious complications. The recurrence of posterior capsular opacity was observed in 7 (24.1%) eyes, which was successfully managed by repeated laser procedure or surgical capsulectomy.

Conclusions : By selecting compliant patients and repeated attempts, Nd:YAG laser posterior capsulotomy can be successfully performed in pediatric population without serious complications. Laser treatment is also a good option for managing recurred posterior capsular opacity. Restored visual acuity can be maintained for at least 5 years.

This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.


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