Comparison of preoperative Nd:YAG laser anterior capsulotomy versus two-stage curvilinear capsulorhexis in phacoemulsification of white intumescent cataracts

Roberto P. Coelho, Luiz F.T. Martin, Jayter S. Paula, Ingrid U. Scott

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

■ BACKGROUND AND OBJECTIVE: To compare the results of preoperative Nd:YAG laser anterior capsulotomy versus two-stage continuous curvilinear capsulorhexis (CCC) in phacoemulsification of eyes with white intumescent cataracts and lique-fied cortex. ■ PATIENTS AND METHODS: Twenty-three eyes with white intumescent cataract were consecutively randomized for phacoemulsification with preoperative Nd:YAG laser anterior capsulotomy (group 1, n = 11) or two-stage CCC (group 2, n = 12) procedures. Intraoperative findings and postoperative outcomes were compared using the nonparametric tests. ■ RESULTS: Postoperative visual acuity, mean surgical time, mean effective phacoemulsification time, and frequency of complications were not significantly different between the two groups (P > .05). Two cases in each group were converted to the extracapsular technique. Excluding these four patients, surgical time was shorter in group 1 (P = .017). ■ CONCLUSION: Preoperative Nd:YAG laser anterior capsulotomy is a safe technique in decompressing the capsular bag before phacoemulsification of white intumescent cataracts with liquefied cortex.

Original languageEnglish (US)
Pages (from-to)582-585
Number of pages4
JournalOphthalmic Surgery Lasers and Imaging
Volume40
Issue number6
DOIs
StatePublished - Nov 2009

All Science Journal Classification (ASJC) codes

  • Surgery
  • Ophthalmology

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