The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification
Yıl: 2020 Cilt: 29 Sayı: 3 Sayfa Aralığı: 207 - 217 Metin Dili: İngilizce DOI: 10.5336/ophthal.2019-72054 İndeks Tarihi: 05-11-2020
The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification
Öz: Objective: To investigate the effect of ND:YAG laser cap- sulotomy on macular pigment optical density(MPOD) in patients with posterior capsule opacification(PCO). Material and Methods: This prospective and single-arm clinical trial included 38 participants with pseudophakic eyes. MPOD, choroidal(CT) and central macular thick- nesses(CMT), as well as anterior chamber parameters, were measured be- fore ND:YAG laser and the measurements were repeated after one week, one month and two months. The changes in the parameters and correla- tions were evaluated statistically. Results: There were significant de- creases in the MPODs of the fovea and pericentral during the study (p<0.01 for both). The mean ICA (iridocorneal angle), ACD (anterior chamber depth) and CMT significantly increased during the study period (p<0.01). The mean CTs of the nasal and subfoveal regions also increased significantly (p<0.01). There were significant negative correlations be- tween the changes in the mean total applied laser energy and MPODs (r>0.6, p<0.01), and there were significant and same direction relations between the changes in the mean total laser energy, and ICA, ACD, as well as CMT(r>0.6, p<0.01). Conclusion: Posterior laser capsulotomy re- sulted in decreases in MPODs, while there were increases in the mean ICA, ACD, CT and CMT. Laser capsulotomy can affect the posterior cap- sule integrity and macular pigment, therefore, it can cause more vulnera- ble situations in the retina against high-energy blue lights.
Anahtar Kelime: Arka Kapsül Kesafeti Olan Olgularda Nd:YAG Lazer Posterior Kapsülotominin Maküla Pigmenti Optik Yoğunluğuna Etkisi
Öz: Amaç: Arka kapsül kesafeti (AKK) tanılı hastalarda Nd:YAG lazer kapsülotominin maküla pigmenti optik yoğunluğu (MPOY) üzerine etkisi- nin araştırılması amaçlanmıştır. Gereç ve Yöntemler: Bu prospektif vaka kontrollü çalışmada AKK tanısı alan ve posterior lazer kapsülotomi plan- lanan 38 hasta çalışmaya dahil edildi. Lazer kapsülotomi uygulaması öncesi bütün katılımcıların MPOY, koroid kalınlığı (KK), iridokorneal açı (IKA), ön kamara derinliği (ÖKD), santral maküla kalınlığı (SMK) ile birlikte uy- gulanan lazer kapsülotomi parametreleri kaydedildi. Aynı ölçümler lazer kapsülotomi sonrası 1. hafta, 1. ay ve 2. ayda tekrar edildi ve veriler kay- dedildi. Elde edilen verilerin süreç içerisindeki değişimleri ve birbirleri ile korelasyonları istatistiksel olarak değerlendirildi. Bulgular: Çalışma süre- since fovea ve perisentral MPOY ortalama değerlerinde anlamlı azalma mevcuttu (p<0,01, her iki değer için). Çalışma süresince ortalama İKA, ÖKD ve SMK anlamlı olarak arttı (p<0,01). Nazal ve subfoveal bölge or- talama KK’de anlamlı olarak arttı (p<0,01). Ayrıca uygulanan toplam lazer enerjisi ile MPOY değişimi arasında anlamlı negatif korelasyon mevcut iken (r>0,6, p<0,01), uygulanan ortalama toplam lazer enerjisi ile İKA, ÖKD ve CMT değişimleri arasında anlamlı ve aynı yönde ilişki mevcuttu (r>0,6, p<0,01). Sonuç: Posterior lazer kapsülotomi MPOY’da azalamaya neden olurken, İKA, ÖKD, KK ve SMK değerlerinde artışlara neden ol- muştur. Lazer kapsülotomi işlemi arka kapsül bütünlüğünü ve maküla pig- mentini etkileyen bir işlem olarak yüksek enerjili mavi ışığa karşı retinada daha korumasız ve daha hassas bir duruma neden olabilir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Bhargava R, Kumar P, Sharma SK, Sharma S, Mehra N, Mishra A, et al. Peeling and as- piration of elschnig pearls! An effective alter- native to Nd: YAG laser capsulotomy! Indian J Ophthalmol. 2013;61(9):518-20. [Crossref] [PubMed] [PMC]
- 2. Sundelin K, Sjostrand J. Posterior capsule opacification 5 years after extracapsular cataract extraction. J Cataract Refract Surg. 1999;25(2):246-50. [Crossref]
- 3. Auffarth G, Brezin A, Caporossi A, Lafuma A, Mendicute J, Berdeaux G, et al. Comparison of Nd: YAG capsulotomy rates following pha- coemulsication with implantation of PMMA, sil- icone, or acrylic intra-ocular lenses in four Eu- ropean countries. Ophthalmic Epidemiol. 2004;11(4):319-29. [Crossref] [PubMed]
- 4. Channell MM, Beckman H. Intraocular pres- sure changes after neodymium-YAG laser posterior capsulotomy. Arch Ophthalmol. 1984;102(7):1024-6. [Crossref] [PubMed]
- 5. Billotte C, Berdeaux G. Adverse clinical con- sequences of neodymium: YAG laser treat- ment of posterior capsule opacification. J Cataract Refract Surg. 2004;30(10):2064-71. [Crossref] [PubMed]
- 6. Slomovic A, Parrish R. Acute elevations of in- traocular pressure following Nd:Yag laser pos- terior capsulotomy. Ophthalmology. 1985;92(7):973-6. [Crossref]
- 7. Park J, Son Y, Lee S. Macular hole formation and spontaneous closure following neodymium-doped yttrium aluminumgarnet capsulotomy in a vitrectomized eye. Indian J Ophthalmol. 2016;64(2):165-6. [Crossref] [PubMed] [PMC]
- 8. Yuvaci I, Pangal E, Yuce Y, Yuvaci S, Bayram N, Ulusoy DM, et al. Optic coherence tomog- raphy measurement of choroidal and retinal thicknesses after uncomplicated YAG laser capsulotomy. Arq Bras Oftalmol. 2015;78(6):344-7. [Crossref] [PubMed] 9. Yilmaz T, Yilmaz A. Long-term changes in subfoveal choroidal thickness and central macula thickness after Nd:YAGlaser capsulo- tomy. Int Ophthalmol. 2017;37(4):1003-8. [Crossref] [PubMed]
- 10. Noda Y, Ogawa A, Toyama T, Ueta T. Long- term increase in subfoveal choroidal thickness after surgery for senile cataracts. Am J Oph- thalmol. 2014;158(3):455-9.e1. [Crossref] [PubMed]
- 11. Ohsugi H, Ikuno Y, Ohara Z, Imamura H, Nakakura S, Matsuba S, et al. Changes in choroidal thickness after cataract surgery. J Cataract Refract Surg. 2014;40(2):184-91. [Crossref] [PubMed] 12. Bergandi L, Skorokhod OA, Franzone F, La Grotta R, Schwarzer E, Nuzzi R, et al. Induc- tion of oxidative stress in human aqueous and vitreous humors by Nd:YAG laser posterior capsulotomy. Int J Ophthalmol. 2018;18;11(7):1145-51.
- 13. Creuzot-Garcher C, Koehrer P, Picot C, Aho S, Bron AM. Comparison of two methods to measure macular pigment optical density in healthy subjects. Invest Ophthalmol Vis Sci. 2014;2;55(5):2941-6. [Crossref] [PubMed]
- 14. Eliaçık M, Bayramlar H, Erdur SK, Demirci G, Gülkılık K. Anterior segment optical coherence tomography measurement after neodymium- yttrium-aluminum-garnet laser capsulotomy. Am J Ophthalmol. 2014;158(5):994-8. [Cross- ref] [PubMed]
- 15. El-Haddad M, El-Dien NS. The impact of Nd: YAG laser posterior capsulotomy by the use of "the circular pattern with vitreous strand cut" technique on anterior chamber parameters. Lasers Med Sci. 2019;34(2):353-7. [Crossref] [PubMed]
- 16. Shin MH, Kang HJ, Kim SJ, Chung IY, Seo SW, Yoo JM, et al. Effect of Nd:YAG laser capsulotomy on anterior segment parameters in patients with posterior capsular opacifica- tion after phacovitrectomy. Korean J Ophthal- mol. 2018;32(5):369-75. [Crossref] [PubMed] [PMC]
| APA | Kutluksaman B, DOĞAN M (2020). The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification. , 207 - 217. 10.5336/ophthal.2019-72054 |
| Chicago | Kutluksaman Bünyamin,DOĞAN Mustafa The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification. (2020): 207 - 217. 10.5336/ophthal.2019-72054 |
| MLA | Kutluksaman Bünyamin,DOĞAN Mustafa The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification. , 2020, ss.207 - 217. 10.5336/ophthal.2019-72054 |
| AMA | Kutluksaman B,DOĞAN M The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification. . 2020; 207 - 217. 10.5336/ophthal.2019-72054 |
| Vancouver | Kutluksaman B,DOĞAN M The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification. . 2020; 207 - 217. 10.5336/ophthal.2019-72054 |
| IEEE | Kutluksaman B,DOĞAN M "The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification." , ss.207 - 217, 2020. 10.5336/ophthal.2019-72054 |
| ISNAD | Kutluksaman, Bünyamin - DOĞAN, Mustafa. "The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification". (2020), 207-217. https://doi.org/10.5336/ophthal.2019-72054 |
| APA | Kutluksaman B, DOĞAN M (2020). The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification. Türkiye Klinikleri Oftalmoloji Dergisi, 29(3), 207 - 217. 10.5336/ophthal.2019-72054 |
| Chicago | Kutluksaman Bünyamin,DOĞAN Mustafa The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification. Türkiye Klinikleri Oftalmoloji Dergisi 29, no.3 (2020): 207 - 217. 10.5336/ophthal.2019-72054 |
| MLA | Kutluksaman Bünyamin,DOĞAN Mustafa The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification. Türkiye Klinikleri Oftalmoloji Dergisi, vol.29, no.3, 2020, ss.207 - 217. 10.5336/ophthal.2019-72054 |
| AMA | Kutluksaman B,DOĞAN M The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification. Türkiye Klinikleri Oftalmoloji Dergisi. 2020; 29(3): 207 - 217. 10.5336/ophthal.2019-72054 |
| Vancouver | Kutluksaman B,DOĞAN M The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification. Türkiye Klinikleri Oftalmoloji Dergisi. 2020; 29(3): 207 - 217. 10.5336/ophthal.2019-72054 |
| IEEE | Kutluksaman B,DOĞAN M "The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification." Türkiye Klinikleri Oftalmoloji Dergisi, 29, ss.207 - 217, 2020. 10.5336/ophthal.2019-72054 |
| ISNAD | Kutluksaman, Bünyamin - DOĞAN, Mustafa. "The Effect of Nd:YAG Laser Posterior Capsulotomy on Macular Pigment Optical Density in Cases with Posterior Capsule Opacification". Türkiye Klinikleri Oftalmoloji Dergisi 29/3 (2020), 207-217. https://doi.org/10.5336/ophthal.2019-72054 |
