Clinical Ophthalmology (Jan 2023)

Refractive Changes After Nd:YAG Capsulotomy in Pseudophakic Eyes

  • Moshirfar M,
  • Basharat NF,
  • Seitz TS,
  • Peterson CM,
  • Stapley SR,
  • Ziari M,
  • Bundogji N,
  • Ronquillo YC,
  • Hoopes PC

Journal volume & issue
Vol. Volume 17
pp. 135 – 143

Abstract

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Majid Moshirfar,1– 3 Noor F Basharat,4 Tanner S Seitz,5 Christian M Peterson,6 Seth R Stapley,5 Melody Ziari,7 Nour Bundogji,2 Yasmyne C Ronquillo,1 Phillip C Hoopes1 1Hoopes Vision Research Center, Hoopes Vision, Draper, UT, 84020, USA; 2John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT, USA; 3Utah Lions Eye Bank, Murray, UT, USA; 4University of Arizona College of Medicine – Phoenix, Phoenix, AZ, USA; 5Midwestern University Arizona College of Osteopathic Medicine, Glendale, AZ, USA; 6University of Utah School of Medicine, Salt Lake City, Utah, USA; 7University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX, USACorrespondence: Majid Moshirfar, Hoopes Vision Research Center, 11820 S, State Street Suite #200, Draper, UT, 84020, Tel +1-801-568-0200, Fax +1-801-563-0200, Email [email protected]: To analyze refractive changes after neodymium: yttrium-aluminum-garnet (Nd:YAG) posterior capsulotomy in pseudophakic eyes.Patients and Methods: Patients who underwent Nd:YAG capsulotomy after cataract surgery from January 2013 to April 2022 were included in this retrospective study. Sphere, cylinder, spherical equivalent (SE), axis, and corrected distance visual acuity (CDVA) were compared pre- and postoperatively in 683 eyes of 548 patients at one month (n = 605 eyes) and one year (n = 211 eyes). Patients with both one-month and one-year follow-ups (n = 133) were also compared. Eyes were stratified into single-piece (n = 330), three-piece (n = 30), and light adjustable lenses (LALs) (n = 16). Pre- and postoperative measurements were analyzed within each group.Results: Cylinder was significantly decreased at one-month (difference: 0.042± 0.448 D, p = 0.006) and one-year (difference: 0.101± 0.455 D, p = 0.003) compared to preoperative measurements. No significant change in sphere or axis was observed at follow-up visits (p > 0.05). CDVA significantly improved at both time points (p 0.05). There was significant improvement in CDVA in the single and three-piece lens groups (p 0.05).Conclusion: There were no changes in sphere, axis, or spherical equivalent after Nd:YAG capsulotomy. However, cylindrical error and CDVA were significantly better after the procedure. Lens type did not impact refractive parameters postoperatively.Keywords: PCO, posterior capsular opacification, cataract, light adjustable lenses, LAL

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