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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-12-2005 | Case Report

Monocular diplopia after neodymium: YAG laser capsulotomy

Authors: José Javier García Medina, Manuel García Medina, María Dolores Pinazo Durán, María Morales Suarez-Varela

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 12/2005

Abstract

Purpose

To present an unusual complication of posterior capsulotomy such as monocular diplopia and to discuss the importance of capsulotomy size.

Methods

Case report: A 57-year old man came to our clinic complaining of horizontal monocular diplopia in his right eye for the past 3 days. The patient had undergone a Nd:YAG capsulotomy in this eye 3 weeks before. Slit-lamp biomicroscopy under pupil dilation revealed a small capsulotomy and a considerable Elschnig pearl as the presumable cause of the diplopia. The rest of the examination was completely normal.

Results

After repeat Nd:YAG capsulotomy treatment, the diplopia disappeared.

Conclusion

Capsulotomy size is a significant factor to consider when treating a posterior capsular opacification. A capsulotomy that is larger than the pupil diameter under scotopic conditions may avoid disturbances of vision such as monocular diplopia.

Aslam TM, Devlin H, Dhillon B (2003) Use of Nd:YAG laser capsulotomy. Surv Ophthalmol 48:594–612CrossRefPubMed

Aslam TM, Dhillon B (2002) Neodymium:YAG laser capsulotomy: a clinical morphological analysis. Graefes Arch Clin Exp Ophthalmol 240:972–976PubMedCrossRef

Chen F, Li RC, Wang J (2003) Effect of the different diameter of posterior capsulotomy on visual field. Zhonghua Yan Ke Za Zhi 39:294–297PubMed

Framme C, Hoerauf H, Roider J, Laqua H (1998) Delayed intraocular lens dislocation after Nd:YAG Capsulotomy. J Cataract Refract Surg 24:1541–1543PubMed

Goble RR, O’Brart DP, Lohmann CP, Fitzke F, Marshall J (1994) The role of light scatter in the degradation of visual performance before and after Nd:YAG capsulotomy. Eye 8:530–534PubMed

Holladay JT, Bishop JE, Lewis JW (1985) The optimal size of a posterior capsulotomy. J Am Int Implant Soc 11:18–20PubMed

Kurosaka D, Kato K, Kurosaka H, Yoshino M, Nakamura K, Negishi K (2002) Elschnig pearl formation along the neodymium:YAG laser posterior capsulotomy margin. Long-term follow-up. J Cataract Refract Surg 28:1809–1813PubMedCrossRef

Mamalis N, Craig MT, Price FW (1990) Spectrum of Nd:YAG laser-induced intraocular lens damage in explanted lenses. J Cataract Refract Surg 16:495–500PubMed

Ranta P, Kivela T (1998) Retinal detachment in pseudophakic eyes with and without Nd:YAG laser posterior capsulotomy. Ophthalmology 105:2127–2133CrossRefPubMed

10.

Schaumberg DA, Dana MR, Christen WG, Glynn RJ (1998) A systematic overview of the incidence of posterior capsule opacification. Ophthalmology 105:1213–1221CrossRefPubMed

11.

Slomovic AR, Parrish RK (1985) Acute elevations of intraocular pressure following Nd:YAG laser posterior capsulotomy. Ophthalmology 92:973–976PubMed

Title: Monocular diplopia after neodymium: YAG laser capsulotomy
Authors: José Javier García Medina
Manuel García Medina
María Dolores Pinazo Durán
María Morales Suarez-Varela
Publication date: 01-12-2005
Publisher: Springer-Verlag
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 12/2005
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-005-1192-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Monocular diplopia after neodymium: YAG laser capsulotomy

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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