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First Author: S.Chiang TAIWAN
Co Author(s): M. Hsieh K. Chien
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A 78-year-old woman experienced a fracture of an old-fashioned glass intra-ocular lens (IOL), called a spider lens, after a neodymium-doped yttrium aluminium garnet (Nd:YAG) capsulotomy.
Department of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center,Taipei, Taiwan.
Persistent corneal oedema occurred subsequently, with deteriorating blurred vision 2 months later. Because the prognosis was irreversible corneal decompensation in the left eye, penetrating keratoplasty was performed uneventfully, with removal of the fractured original IOL and implantation of a second IOL.
Two years later, the corneal graft remained crystal clear and the patients visual acuity was restored to 20/30 on the Snellen chart.
Nd:YAG capsulotomy is not without risks in treating PCO after cataract surgery. However, young ophthalmologists may overlook the potential risks of this procedure. We hope that our experience reminds clinicians of the possible complications of Nd:YAG capsulotomy.