Intraocular Pressure Changes after Neodymium Doped: Yttrium-Aluminum-Garnet (Nd: Yag) Laser Capsulotomy

Abstract

Purpose:  To assess the difference in intraocular pressure before and after Nd-YAG laser posterior capsulotomy. Study Design:  Quasi-experimental study. Place and Duration of Study:  Layton Rahmatulla Benevolent Trust Eye Hospital, Karachi, from July 2021 to October 2021. Methods:  Patients of both gender with posterior capsular opacification (PCO) after cataract surgery, were included. Age ranged between 40 and 60 years. Patients with less than 6 months of surgery were excluded. Patients with posterior segment pathology like glaucoma, uveitis, high myopia, diabetic retinopathy, macular pathology, and hereditary fundus dystrophies were excluded from the study. After detailed history, complete ocular examination was performed. After pupil dilatation, YAG laser capsulotomy was done.IOP was measured with Goldmann Applanation Tonometer after instilling a topical anesthetic agent. Post-YAG, IOP was again measured at 1 hour and on day 1. Data was analyzed using SPSS version 25. Paired T-tests were used to assess the significance of any change in IOP. Results:  Ninety eyes of 90 patients were inducted into the study in which 51 (57%) were male and 39 (43%) were female. The age varied from 40 to 60 years (mean 52.3 ± 10.25 years). There was no statistically significant difference between pre-YAG and post-YAG IOP. Similarly, no difference in IOP was found depending upon the age of the patients. No significant change was observed after 1 hour and 1 day in both groups with P > 0.05. Conclusion:  This showed no significant change in intraocular pressure at one hour and one day, after Nd-YAG laser posterior capsulotomy.