Floaters after retina surgery11/7/2023 She had no history of any systemic disease and drug intake. Ophthalmologic examination revealed significant Elsching pearl like PCO in her left eye and VF like a thick string in the posterior segment of the vitreous cavity(Fig. The laser energy should be as low as possible and careful focus is necessary to reduce interference to the retina.Ī 58-year-old myopic woman visited our clinic, complaining of blurred vision and symptomatic floaters in her left eye for 3 months. ConclusionĪs myopic patients are at risk of developing retinal detachment, Nd:YAG vitreolysis and capsulotomy should be performed with caution. Six months later, silicone oil was removed and the best corrected visual acuity (BCVA) of her left eye gradually improved to 10/20 and maintained during a 1-year follow-up period. Then she underwent vitrectomy, retinal reattchment and silicone oil tamponade surgery immediately. ![]() We found she had a acute severe rhegmentogenous retinal detachment (RD) involving the macula. After 7 days, she complained of rapid vision decline and dark shadows in her treated eye. She underwent neodymium-doped yttrium aluminum (Nd:YAG) laser vitreolysis immediately after Nd:YAG capsulotomy. We found she had significant PCO and VF in the posterior vitreous. Case presentationĪ 58-year-old myopic woman complained of decreased visual acuity and symptomatic floaters with her left eye for 3 months. We report a case of acute retinal detachment seven days after Nd:YAG laser capsulotomy combined with Nd:YAG laser vitreolysis and analyze the cause of this complication. ![]() Modern laser surgery uses Nd:YAG laser capsulotomy for posterior capsule opacification (PCO) and Nd:YAG laser vitreolysis for symptomatic vitreous floaters (VF).
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