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YAG-hinged capsulotomy vs regular laser capsulotomy: effectively decreases floaters

Poster Details

First Author: K.Mehta INDIA

Co Author(s):    C. Mehta              

Abstract Details


To compare a new technique of YAG laser capsulotomy (circular capsulotomy with an inferior hinge) with commonly practiced circular YAG laser capsulotomy for management of posterior capsular opacification.


Mehta International Eye Institute


50 bilateral pseudophakic patience with significant posterior capsular opacification were divided randomly into two groups excluding any history of, or complication during prior surgery. The first group included a routine capsulotomy commencing from the mid-Centre and branching outwards. The second group underwent a circular capsulotomy leaving an inferior hinge. The study was Prospective Randomized Clinical Trial. Patients with history of any ocular trauma or surgery were excluded Corrected distance visual acuity (CDVA) was measured before and after capsulotomy. At three months and six months they were asked regarding the incidence of floaters comparing the two eyes.


There was no significant difference between postoperative CDVA of the two groups. After 3 month, there was a significantly higher degree of annoying floater in the circular capsulotomy group (P value=0.02). There was no statically significant difference in total delivered energy (P value=0.4) or number of spots (P value=0.2) between 2 groups.


Hinged capsulotomy seems effective in decreasing floater rate after YAG laser capsulotomy for posterior capsular opacification. FINANCIAL INTEREST: NONE

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