South Clin Ist Euras. 2016; 27(1): 52-56 | DOI: 10.5505/jkartaltr.2015.82713

Impact of Nd: YAG Laser Posterior Capsulotomy on Macular Thickness

Kenan Çalýþýr¹, Mustafa Kalaycý², Abdulkadir Ort³, Leyla Yavuz³, Ayþegül Demir^4
1Horasan State Hospital, Department Of Ophthalmology, Erzurum
²Gazipaþa State Hospital, Department Of Ophthalmology, Antalya
³Muþ State Hospital, Department Of Ophthalmology, Muþ
⁴Dr. Lütfi Kýrdar Kartal Training And Research Hospital, Department Of Ophthalmology, Ýstanbul

INTRODUCTION: The aim of the present prospective study was to assess changes in macular thickness by means of spectral optical coherence tomography after neodymium-doped yttrium aluminum garnet (Nd: YAG) laser posterior capsulotomy for posterior capsule opacification.
METHODS: 69 eyes (37 right, 32 left) of 53 patients (18 male, 35 female) who underwent Nd: YAG laser posterior capsulotomy between May 2012 and June 2013 were included to this study. Pre-capsulotomy central macular thickness was compared with post-capsulotomy measurements at 1 week and 1, 3, and 6 months.
RESULTS: Mean patient age was 66 (35–83) years. While mean central macular thickness was 209.8±28.2 μ prior to Nd: YAG laser capsulotomy, post-laser values at 1 week, 1 month, 3 months, and 6 months were 213.3±27.5 μ, 214±26.8 μ, 213±26.3 μ, and 212.9±26.5 μ, respectively. No statistically significant differences in mean central macular thickness measured pre- and post-capsulotomy were determined (p>0.05).
DISCUSSION AND CONCLUSION: Nd: YAG laser capsulotomy for the treatment of posterior capsular opacification is a safe and effective procedure that does not cause significant increase in macular thickness.

Keywords: Posterior capsular opacification, macular thickness, Nd: YAG laser capsulotomy, optic coherence tomography.

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Nd: YAG Lazer Arka Kapsülotominin Makula Kalýnlýðýna Etkisi

Kenan Çalýþýr¹, Mustafa Kalaycý², Abdulkadir Ort³, Leyla Yavuz³, Ayþegül Demir^4
1Horasan Devlet Hastanesi, Göz Hastalýklarý Kliniði, Erzurum
²Gazipaþa Devlet Hastanesi, Göz Hastalýklarý Kliniði, Antalya
³Muþ Devlet Hastanesi, Göz Hastalýklarý Kliniði, Muþ
⁴Dr. Lütfi Kýrdar Kartal Eðitim Ve Araþtýrma Hastanesi, Göz Hastalýklarý Kliniði, Ýstanbul

GÝRÝÞ ve AMAÇ: Bu prospektif çalýþmada, arka kapsül kesafeti geliþmiþ olgularda Nd: YAG (Neodymium-doped yttrium aluminum garnet) lazer arka kapsulotomi sonrasý Spektral OKT (Optik Kohorens Tomografi) (OPKO/OTI, Miami, FL) ile makula kalýnlýk deðiþikliklerinin deðerlendirilmesi amaçlandý.
YÖNTEM ve GEREÇLER: Mayýs 2012 ile Haziran 2013 arasýnda 53 hastanýn (18 erkek, 35 kadýn) 69 gözüne Nd: YAG lazer arka kapsülotomi uygulandý. Hastalarýn kapsülotomi öncesi merkezi makula kalýnlýklarý, kapsülotomi sonrasý birinci hafta, birinci ay, üçüncü ay ve altýncý ay ölçümleri ile karþýlaþtýrýldý.
BULGULAR: Ortalama yaþ 66 (35–83) idi. Hastalarýn iþlem öncesinde merkezi makula kalýnlýklarý ortalamasý 209.8±28.2 μ iken, iþlem sonrasý birinci haftada, birinci ayda, üçüncü ayda ve altýncý ayda sýrasýyla 213.3±27.5 μ, 214±26.8 μ, 213±26.3 μ, 212.9±26.5 μ olarak bulundu. Uygulama öncesi ve sonrasý merkezi makula kalýnlýklarý karþýlaþtýrýldýðýnda istatistiksel olarak anlamlý bir fark bulunmadý (p>0.05)
TARTIÞMA ve SONUÇ: Arka kapsül kesafeti tedavisinde Nd: YAG lazer kapsülotomi iþlemi merkezi makula kalýnlýðýnda artýþ oluþturmayan etkin ve güvenli bir iþlemdir.

Anahtar Kelimeler: Arka kapsül kesafeti, maküler kalýnlýk, Nd: YAG lazer kapsülotomi, optik kohorens tomografi.

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