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Treatment of Posterior Capsule Opacification after Lens Implantation with Nd∶YAG Laser in Children

Zhang Lijing, Wang YiDepartment of Ophthalmology, Nanjing General Hospital of PLA, Nanjing(210002)  
he aim of this study is to evaluate the effects of posterior capsulectomy with Nd∶YAG laser in children with posterior capsule opacification after lens implantation (32 cases). Way of cooperation was informed to children before operation and their pupils were moderately dilated with mild mydriatic. Laser power was set at low energy (04 mJ) and increased gradually according to the individual reaction. Total energy was about 20 mJ-30 mJ per treatment session until the posterior capsule was penetrated centrally about 10 mm in diameter. Visual acuities recovered to their best levels before posterior capsule opacity took place in all cases. Corrected visual acuities were between 01 and 04 in 25 eyes, 05 and 08 in 5 eyes, over 10 in 2 eyes. 85% of the capsules were successfully opened with a single shot, no damage was found in IOL. Our fingings demonstrated that Nd∶YAG laser is very effective in opening the posterior capsule opacity and could avoid damage to IOL.
【CateGory Index】: R779.63,
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