Refractive Changes After Nd:YAG Capsulotomy in Pseudophakic Eyes
Majid Moshirfar,1– 3 Noor F Basharat,4 Tanner S Seitz,5 Christian M Peterson,6 Seth R Stapley,5 Melody Ziari,7 Nour Bundogji,2 Yasmyne C Ronquillo,1 Phillip C Hoopes1 1Hoopes Vision Research Center, Hoopes Vision, Draper, UT, 84020, USA; 2John A. Moran Eye Center, University of Utah School of Medici...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2023-01-01
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| Series: | Clinical Ophthalmology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/refractive-changes-after-ndyag-capsulotomy-in-pseudophakic-eyes-peer-reviewed-fulltext-article-OPTH |
| _version_ | 1797958299939766272 |
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| author | Moshirfar M Basharat NF Seitz TS Peterson CM Stapley SR Ziari M Bundogji N Ronquillo YC Hoopes PC |
| author_facet | Moshirfar M Basharat NF Seitz TS Peterson CM Stapley SR Ziari M Bundogji N Ronquillo YC Hoopes PC |
| author_sort | Moshirfar M |
| collection | DOAJ |
| description | Majid Moshirfar,1– 3 Noor F Basharat,4 Tanner S Seitz,5 Christian M Peterson,6 Seth R Stapley,5 Melody Ziari,7 Nour Bundogji,2 Yasmyne C Ronquillo,1 Phillip C Hoopes1 1Hoopes Vision Research Center, Hoopes Vision, Draper, UT, 84020, USA; 2John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT, USA; 3Utah Lions Eye Bank, Murray, UT, USA; 4University of Arizona College of Medicine – Phoenix, Phoenix, AZ, USA; 5Midwestern University Arizona College of Osteopathic Medicine, Glendale, AZ, USA; 6University of Utah School of Medicine, Salt Lake City, Utah, USA; 7University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX, USACorrespondence: Majid Moshirfar, Hoopes Vision Research Center, 11820 S, State Street Suite #200, Draper, UT, 84020, Tel +1-801-568-0200, Fax +1-801-563-0200, Email cornea2020@me.comPurpose: To analyze refractive changes after neodymium: yttrium-aluminum-garnet (Nd:YAG) posterior capsulotomy in pseudophakic eyes.Patients and Methods: Patients who underwent Nd:YAG capsulotomy after cataract surgery from January 2013 to April 2022 were included in this retrospective study. Sphere, cylinder, spherical equivalent (SE), axis, and corrected distance visual acuity (CDVA) were compared pre- and postoperatively in 683 eyes of 548 patients at one month (n = 605 eyes) and one year (n = 211 eyes). Patients with both one-month and one-year follow-ups (n = 133) were also compared. Eyes were stratified into single-piece (n = 330), three-piece (n = 30), and light adjustable lenses (LALs) (n = 16). Pre- and postoperative measurements were analyzed within each group.Results: Cylinder was significantly decreased at one-month (difference: 0.042± 0.448 D, p = 0.006) and one-year (difference: 0.101± 0.455 D, p = 0.003) compared to preoperative measurements. No significant change in sphere or axis was observed at follow-up visits (p > 0.05). CDVA significantly improved at both time points (p < 0.05). No significant change in any parameters between the one-month and one-year groups was observed (p > 0.05). There was significant improvement in CDVA in the single and three-piece lens groups (p < 0.0001 and p = 0.026, respectively), with no change in the LAL group (p > 0.05).Conclusion: There were no changes in sphere, axis, or spherical equivalent after Nd:YAG capsulotomy. However, cylindrical error and CDVA were significantly better after the procedure. Lens type did not impact refractive parameters postoperatively.Keywords: PCO, posterior capsular opacification, cataract, light adjustable lenses, LAL |
| first_indexed | 2024-04-11T00:18:04Z |
| format | Article |
| id | doaj.art-e89fef3ce5b44a598483318ee5e29eaf |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-04-11T00:18:04Z |
| publishDate | 2023-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-e89fef3ce5b44a598483318ee5e29eaf2023-01-08T17:06:51ZengDove Medical PressClinical Ophthalmology1177-54832023-01-01Volume 1713514380880Refractive Changes After Nd:YAG Capsulotomy in Pseudophakic EyesMoshirfar MBasharat NFSeitz TSPeterson CMStapley SRZiari MBundogji NRonquillo YCHoopes PCMajid Moshirfar,1– 3 Noor F Basharat,4 Tanner S Seitz,5 Christian M Peterson,6 Seth R Stapley,5 Melody Ziari,7 Nour Bundogji,2 Yasmyne C Ronquillo,1 Phillip C Hoopes1 1Hoopes Vision Research Center, Hoopes Vision, Draper, UT, 84020, USA; 2John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT, USA; 3Utah Lions Eye Bank, Murray, UT, USA; 4University of Arizona College of Medicine – Phoenix, Phoenix, AZ, USA; 5Midwestern University Arizona College of Osteopathic Medicine, Glendale, AZ, USA; 6University of Utah School of Medicine, Salt Lake City, Utah, USA; 7University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX, USACorrespondence: Majid Moshirfar, Hoopes Vision Research Center, 11820 S, State Street Suite #200, Draper, UT, 84020, Tel +1-801-568-0200, Fax +1-801-563-0200, Email cornea2020@me.comPurpose: To analyze refractive changes after neodymium: yttrium-aluminum-garnet (Nd:YAG) posterior capsulotomy in pseudophakic eyes.Patients and Methods: Patients who underwent Nd:YAG capsulotomy after cataract surgery from January 2013 to April 2022 were included in this retrospective study. Sphere, cylinder, spherical equivalent (SE), axis, and corrected distance visual acuity (CDVA) were compared pre- and postoperatively in 683 eyes of 548 patients at one month (n = 605 eyes) and one year (n = 211 eyes). Patients with both one-month and one-year follow-ups (n = 133) were also compared. Eyes were stratified into single-piece (n = 330), three-piece (n = 30), and light adjustable lenses (LALs) (n = 16). Pre- and postoperative measurements were analyzed within each group.Results: Cylinder was significantly decreased at one-month (difference: 0.042± 0.448 D, p = 0.006) and one-year (difference: 0.101± 0.455 D, p = 0.003) compared to preoperative measurements. No significant change in sphere or axis was observed at follow-up visits (p > 0.05). CDVA significantly improved at both time points (p < 0.05). No significant change in any parameters between the one-month and one-year groups was observed (p > 0.05). There was significant improvement in CDVA in the single and three-piece lens groups (p < 0.0001 and p = 0.026, respectively), with no change in the LAL group (p > 0.05).Conclusion: There were no changes in sphere, axis, or spherical equivalent after Nd:YAG capsulotomy. However, cylindrical error and CDVA were significantly better after the procedure. Lens type did not impact refractive parameters postoperatively.Keywords: PCO, posterior capsular opacification, cataract, light adjustable lenses, LALhttps://www.dovepress.com/refractive-changes-after-ndyag-capsulotomy-in-pseudophakic-eyes-peer-reviewed-fulltext-article-OPTHpcoposterior capsular opacificationcataractlight adjustable lenseslal |
| spellingShingle | Moshirfar M Basharat NF Seitz TS Peterson CM Stapley SR Ziari M Bundogji N Ronquillo YC Hoopes PC Refractive Changes After Nd:YAG Capsulotomy in Pseudophakic Eyes Clinical Ophthalmology pco posterior capsular opacification cataract light adjustable lenses lal |
| title | Refractive Changes After Nd:YAG Capsulotomy in Pseudophakic Eyes |
| title_full | Refractive Changes After Nd:YAG Capsulotomy in Pseudophakic Eyes |
| title_fullStr | Refractive Changes After Nd:YAG Capsulotomy in Pseudophakic Eyes |
| title_full_unstemmed | Refractive Changes After Nd:YAG Capsulotomy in Pseudophakic Eyes |
| title_short | Refractive Changes After Nd:YAG Capsulotomy in Pseudophakic Eyes |
| title_sort | refractive changes after nd yag capsulotomy in pseudophakic eyes |
| topic | pco posterior capsular opacification cataract light adjustable lenses lal |
| url | https://www.dovepress.com/refractive-changes-after-ndyag-capsulotomy-in-pseudophakic-eyes-peer-reviewed-fulltext-article-OPTH |
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