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Circular YAG laser anterior capsulotomy for anterior capsule contraction syndrome

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Abstract

Purpose

To evaluate circular neodymium: YAG laser incision in cases of anterior capsular contraction syndrome (ACCS) by comparing it to radial Neodymium: YAG laser incision as for efficacy and safety.

Settings

Ophthalmology Department, Benha University Hospitals.

Methods

The study was done on 74 eyes of 66 patients with symptomatic ACCS. Eyes were randomly allocated to one of the two groups. Group I were treated by circular YAG laser anterior capsulotomy. Group II were treated by radial YAG laser anterior capsulotomy. All cases passed a full ophthalmic examination before laser capsulotomy, 1 week, 1 month, 6 months and 12 months after laser.

Results

BCVA at the 1st week and the 1st month after the capsulotomy did not show any significant difference between the two groups; however at the 3rd and 6th months, the circular group showed better visual acuity than the radial group (p 0.001 and < 0.001, respectively). All post-YAG UCVA and BCVA were significantly higher than pre-YAG UCVA and BCVA in both groups. IOL decentration occurred in two cases in radial group. Circular group had significantly higher percentage of contraction relief (94.4%) than the radial group (66.7%) with p value 0.003.

Conclusion

Circular Nd:YAG anterior capsulotomy is more effective and safe than radial capsulotomy in 1-year follow-up.

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Authors and Affiliations

  1. Ophthalmology Department, Faculty of Medicine, Benha University Hospitals, Benha University, Benha, Egypt

    Mohamed Nagy Elmohamady, Ashraf Elhabbak & Elham Abdelazim Gad

Authors
  1. Mohamed Nagy Elmohamady
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  2. Ashraf Elhabbak
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  3. Elham Abdelazim Gad
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Corresponding author

Correspondence to Mohamed Nagy Elmohamady.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study were approved by the Benha University Research Ethics Committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in this study.

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Elmohamady, M.N., Elhabbak, A. & Gad, E.A. Circular YAG laser anterior capsulotomy for anterior capsule contraction syndrome. Int Ophthalmol 39, 2497–2503 (2019). https://doi.org/10.1007/s10792-019-01094-9

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  • DOI: https://doi.org/10.1007/s10792-019-01094-9

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