Document Type : Original Article
Authors
1
Professor of Ophthalmology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
2
Assistant Professor of Ophthalmology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
3
MBBCh, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
https://doi.org/10.21608/aimj.2025.446490
Abstract
Background: When it comes to long-term complications, phacoemulsification cataract surgery is most commonly associated with posterior capsule opacification (PCO). Common visual consequences of PCO include blurred vision, decreased contrast sensitivity, difficulty with glare perception, and diplopia in one eye. These issues typically necessitate additional treatment.
Aim and objectives: To assess how YAG laser capsulotomy affects macular thickness, refraction, and anterior chamber depth.
Subjects and methods: From September 2022 through September 2023, thirty (30) eyes of thirty patients were used in this prospective observational study. The patients were enrolled at the outpatient clinic with PCO at the Ophthalmology Department, Faculty of Medicine, Al-Azhar University.
Results: While there was no statistically significant difference between the pre- and post-YAG intraocular pressure (IOP) and spherical equivalent, there was an extremely significant difference in best corrected visual acuity (p<0.001) between the two. Following a month of Nd: YAG capsulotomy, visual acuity significantly improved. When comparing the average ACD before and after YAG laser capsulotomy, there was no statistically significant difference (p>0.05).
Conclusion: Despite improvement in visual acuity after YAG laser capsulotomy at one-month post-capsulotomy, no significant change in refractive error or ACD was found in this study. Macular edema was observed temporarily, which returned to normal levels within a few weeks.
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