Anterior capsulotomy using a neodymium YAG laser

Abstract

The Neodymium YAG laser can be used to open the anterior capsule of the lens several hours to one day before extracapsular extraction surgery. Opening the capsule prior to cataract surgery allows hydration and spontaneous separation of the cortex from the capsule, simplifying the cataract operation. After the laser procedure, however, many patients develop inflammation and rise in intraocular pressure. The experience of the investigator with 42 consecutive cases in which an anterior capsulotomy was performed with the YAG laser prior to extracapsular cataract surgery is presented. This experience has resulted in an evolving regimen of prelaser medication which has drastically reduced the inflammation and pressure rise.