An uncommon complication from a common procedure

• Main Authors: Rithulaa Raja, M Nivean, Sangeetha Rajagopal, Pratheeba Devi Nivean
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2021-01-01
• Series: TNOA Journal of Ophthalmic Science and Research
• Subjects: cataract surgery; iris–claw intraocular lens; posterior capsular opacification; yttrium-aluminum-garnet–capsulotomy
• Online Access: http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2021;volume=59;issue=1;spage=85;epage=87;aulast=Raja

The study aims to highlight the importance of appropriate sizing of yttrium-aluminum-garnet (YAG)–capsulotomy. We report a case of a patient who developed sudden loss of vision, due to an unprecedented posterior dislocation of the posterior chamber intraocular lens, following an apparently uncomplicated YAG laser capsulotomy for a posterior capsular opacification (PCO), which was restored to complete visual recovery. We also stress the importance of appropriate size of the YAG openings. Although neodymium: YAG laser posterior capsulotomy is a safe procedure for treating PCO, it is not free from complications. Limiting the size of the YAG opening to meet the basic requirements is necessary.