Nd∶YAG激光截囊术后并发症观察

Complications following Nd:YAG laser posteriorcapsulotolny

我们应用Ｎｄ：ＹＡＧ激光对２０３例（２２１只眼）白内障囊外摘除术后患者行晶体后囊切开术，经平均随访１０．５个月（１～９６个月），４７．０６％的术限矫正视力达０．５以上，术后发生裂孔源性视网膜脱离３只眼（１．３６％），大泡性角膜炎１只眼（０．４５％）。尽管本组病例未发生黄斑囊样水肿及青光眼等并发症，但已有文献报道。提示对Ｎｄ：ＹＡＧ激光截囊术后患者，仍需在术后不断观察，以便及时发现和治疗这些并发症。

AbstractWe used neodymium-YAG laser to perform discis-sions of,heposterior capsules in 221 eyes of 203 pa-tients who had undergone previous extracapsular cataract extractions,After a follow-up period ranging from 1-96 months.in the mean 10.5 months , 47. 06% of the eyes achieved corrected visual acuities of≥0.5.The complications included rhegmatogenous retinal de-tachment in 3 eyes(1.36%)and bullous keratopathy in one eye(0. 45%).Although cystoid macular edema and glaucoma were not seen in this series,they had been reported. The author suggests that patients un-dergoing Nd:YAG laser capsulotomies require ongo-ing medical observations to detect and treat these com-plications.