Abstract:
PURPOSE:To describe a technique for Nd:YAG laser photodiscission of retroprosthetic membrane (RPM) in keratoprosthesis patients that minimizes damage to the optic. METHODS:Prospective review of Boston type I keratoprosthesis patients at 1 site who received Nd:YAG treatment for RPM from 2005 to 2009. Outcomes were based on slit-lamp examination of the optic immediately after YAG treatment, tactile intraocular pressure at follow-up, and complications from the outpatient procedure. RESULTS:The incidence of RPM was 24.1% (39 of 162 eyes). Of 26 RPM eyes receiving YAG treatment, 18 had 1 YAG treatment, 6 had multiple YAG treatments, and 2 had surgical excision despite multiple YAG treatments because of membrane thickness. All 26 eyes had no intraoperative complications, no damage to the optic from slit-lamp examination, and soft tactile intraocular pressures. CONCLUSION:Based on the office procedures from our patient base, YAG retroprosthetic membranectomy using a peripheral "can-opener" approach is effective and safe with no evident damage to the optic.
journal_name
Corneajournal_title
Corneaauthors
Chak G,Aquavella JVdoi
10.1097/ICO.0b013e3181cda001subject
Has Abstractpub_date
2010-10-01 00:00:00pages
1169-72issue
10eissn
0277-3740issn
1536-4798journal_volume
29pub_type
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