Long-term changes in subfoveal choroidal thickness and central macula thickness after Nd:YAG laser capsulotomy

Int Ophthalmol. 2017 Aug;37(4):1003-1008. doi: 10.1007/s10792-016-0353-x. Epub 2016 Oct 3.

Abstract

Purpose: To evaluate changes in central macula thickness (CMT), subfoveal choroid thickness (SCT), and intraocular pressure (IOP) before and after neodymium:yttrium-aluminum-garnet (Nd:YAG) laser capsulotomy.

Methods: 42 eyes of 42 patients who underwent Nd:YAG laser capsulotomy were included in this prospective study. CMT, SCT, and IOP were evaluated preoperatively and at postoperative week 1 and postoperative months 1, 3, 6, and 12.

Results: CMT was 238.1 ± 27.6 μm (mean ± SD) preoperatively, then 239.7 ± 29.8, 241.3 ± 28.7, 242.7 ± 27.2, 238.8 ± 23.7, and 238.3 ± 21.7 μm at postoperative week 1 and months 1, 3, 6, and 12, respectively. SCT was 263.3 ± 21.6 μm preoperatively, and 265.5 ± 24.8, 266.2 ± 25.7, 267.1 ± 26.3, 269.1 ± 24.2, and 269.9 ± 21.4 μm at postoperative week 1 and months 1, 3, 6, and 12, respectively. There were no significant differences between preoperative and postoperative results for CMT, SCT, or IOP (all p > 0.05).

Conclusion: Although there were slight changes in choroid thickness in the long term, treatment of posterior capsule opacification with a low-energy Nd:YAG laser is a safe procedure that increases visual acuity without creating a significant increase in IOP, CMT, and SCT.

Keywords: Choroidal neovascularization; Macular degeneration; Optical coherence tomography; Yag laser.

MeSH terms

  • Aged
  • Choroid / pathology*
  • Choroidal Neovascularization / diagnosis*
  • Choroidal Neovascularization / etiology
  • Female
  • Follow-Up Studies
  • Humans
  • Laser Therapy / adverse effects*
  • Lasers, Solid-State / adverse effects*
  • Lens Capsule, Crystalline / surgery*
  • Macula Lutea / pathology*
  • Macular Degeneration / diagnosis*
  • Macular Degeneration / etiology
  • Male
  • Middle Aged
  • Phacoemulsification / adverse effects
  • Postoperative Complications
  • Prospective Studies
  • Time Factors
  • Tomography, Optical Coherence / methods