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Document Type

Original Article

Abstract

Background: Commonly delayed complications after cataract surgery include posterior capsule opacification (PCO) following cataract removal. The PCO is typically treated with Neodymium: Yttrium–Aluminum-Capsulotomy using a Garnet Nd:YAG Laser. It is an effective, non-invasive simple, fast, and relatively safe outpatient surgery for managing intact posterior capsule opacification following surgery. Objectives: to compare thickness variations in the central macula (CMT) after ND: YAG laser posterior capsulotomy in diabetic with non-diabetic patients. Patients and methods: A prospective interventional comparative research was perfomed in ophthalmology department of Al-Azhar university hospitals during the period from September 2021 to July 2022. The investigation included 40 posterior capsule-opacified eyes from 40 patients. Separated into two categories, groupI included diabetic patients and groupII included non-diabetics. Conclusion: Capsulotomy using Nd:YAG laser is the standard procedure for PCO. In both diabetic and non-diabetic patients, there was an increase in CMT. Despite the lack of a clinical manifestation, OCT follow-up showed no difference between non-diabetic and controlled diabetics for these alterations. No correlation was established among the total ND-YAG laser energy and the rise in CMT. Diabetic patients saw a greater escalation in CMT following Nd:YAG laser capsulotomy.

Keywords

Macular Thickness; Neodymium: Yttrium–Aluminum Garnet Laser Capsulotomy; Diabetes.

Subject Area

Ophthalmology

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