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Angle-closure glaucoma associated with vitreous prolapse after neodymium-doped yttrium-aluminum-garnet laser posterior capsulotomy

Angle-closure glaucoma associated with vitreous prolapse after neodymium-doped yttrium-aluminum-garnet laser posterior capsulotomy

Alexis Galeno Matos1; José de Paula Barbosa Neto2; Carlos Philliph Pinheiro Cavalcante3; Lucas Parente de Andrade1; Jayter Silva Paula4

DOI: 10.5935/0004-2749.2022-0058

ABSTRACT

Capsulotomy with neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser is an effective treatment for posterior capsule opacification following cataract surgery. A wide opening of the posterior capsule associated with the ruptured anterior hyaloid can cause anterior chamber vitreous prolapse. Two patients who developed angle-closure glaucoma associated with vitreous prolapse following Nd:YAG laser posterior capsulotomy were successfully treated with antiglaucoma medication and peripheral iridotomies. Patient identification for potential risk factors and a careful postoperative follow-up are essential to avoid these serious complications.

Keywords: Glaucoma; Glaucoma angle closure; Cataract; Posterior capsulotomy; Laser, solid-state


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