ESCRS - PO875 - Use Of Yag-Laser In Posterior Capsulotomy After Cataract Surgery With Implantation Of A Lens With An Enhanced Monofocal Iol (Rayone Emv)

Use Of Yag-Laser In Posterior Capsulotomy After Cataract Surgery With Implantation Of A Lens With An Enhanced Monofocal Iol (Rayone Emv)

Published 2025 - 43rd Congress of the ESCRS

Reference: PO875 | Type: Poster | DOI: 10.82333/h5s0-8595

Authors: Piotr Gosciniewicz 1 , Adam Marcin Kabiesz* 1 , Patryk Zemla 2 , Damian Skorupka 3 , Marta Noga-Guzy 3 , Daria Jorg 4 , Joanna Grzbiela 3 , Jan Komarnicki 3 , Alfred Niewiem 3 , Michal Kobiela 3

1Ophthalmology,Zagłębiowski Clinical Hospital,Będzin,Poland;Collegium Medicum,WSB University,Dąbrowa Górnicza,Poland, 2Ophthalmology,Zagłębiowski Clinical Hospital,Będzin,Poland, 3Ophthalmology,Zagłębiowski Clinical Hospital,Bedzin,Poland, 4Collegium Medicum,WSB University,Dąbrowa Górnicza,Poland

Purpose

Evaluation of the efficacy and safety of posterior capsulotomy with neodymium-yag laser (Nd:YAG) in patients after cataract surgery with implantation of an enhanced  monofocal IOL (Rayone EMV).

Setting

Zaglebiowski Clinical Hospital, Ophthalmology Ward in Bedzin WSB University Dabrowa Gornicza

Methods

The study included 50 patients (72 eyes) who underwent cataract surgery by phacoemulsification with monofocal plus lens implantation (Rayone EMV) and then underwent posterior capsulotomy with an Nd:YAG laser due to the development of posterior capsular opacification (PCO).  The standard energy used was in the range (0,8-2,0 mJ) and the number of pulses adapted individually to the patient. IAll patients underwent a follow-up ophthalmological assessment at 1 week, 1 month and 3 months after the procedure. Changes in visual acuity, intraocular pressure and the occurrence of complications such as pressure surges, damage to intraocular structures or changes in the vitreous body were analysed.

Results

After posterior capsulotomy, there was a significant improvement in visual acuity in the vast majority of patients. Some patients experienced a transient increase in intraocular pressure within one hour after the procedure, which was managed pharmocologically. No statistically significant long-lasting increases in intraocular pressure were observed. No damage to intraocular structures or changes in the vitreous body were noted. There were no significant complications such as retinal detachment or macular oedema.

Conclusions

Posterior capsulotomy with the Nd:YAG laser in patients following cataract surgery with Rayone EMV lens implantation is an effective method of improving visual acuity with minimal risk of complications. Most patients achieve a significant improvement in vision with no lasting negative consequences. However, intraocular pressure should be monitored in the first hours after procedure.