Nd:YAG laser capsulotomy under general anesthesia in the sitting position

作者:Longmuir Susannah*; Titler Sarah; Johnson Tim; Kitzmann Anna
来源:Journal of AAPOS, 2013, 17(4): 417-419.
DOI:10.1016/j.jaapos.2013.03.020

摘要

Neodymium yttrium-aluminum-garnet (Nd:YAG) laser capsulotomy is commonly used to treat posterior capsule opacification after cataract surgery in adults. Children and adults with developmental delay, however, are not always cooperative, and the procedure must be performed under general anesthesia. We describe a technique for Nd:YAG capsulotomy under general anesthesia in the sitting position using the standard widely available Nd:YAG laser. Anesthesia was induced in the supine position and the patient was then transferred to the sitting position with chin in the slit-lamp laser delivery system. The procedure was performed without complications. We report our experience in 4 eyes of 3 patients, including 2 children. This technique is a viable option for those without access to an overhead-mounted Nd:YAG laser and an alternative to secondary posterior capsulotomy in selected patients.

  • 出版日期2013-8