YAG LASER CAPSULOTOMY IN PSEUDOPHAKIC EYES WITH SILICONE OIL TAMPONADE AND HIV-ASSOCIATED CMV-RETINITIS

97th DOG Annual Meeting 1999

P150
YAG LASER CAPSULOTOMY IN PSEUDOPHAKIC EYES WITH SILICONE OIL TAMPONADE AND HIV-ASSOCIATED CMV-RETINITIS

I. C. Folz, S. Krieglsteiner, H. O. C. Gümbel

The present study was designed to evaluate the practicability, efficacy and the complications of YAG laser capsulotomy in pseudophakic eyes with silicone oil tamponade and HIV-associated CMV-retinitis.

Patients: Five pseudophakic eyes (2 Acrysof and 3 heparin-surface-modified IOLs) with silicone oil tamponade were treated with YAG laser capsulotomy. The patients' age was between 33 and 41, the procedure was performed 3.5 to 16 months after cataract surgery. The number of laser effects and energy were compared to the average values in regular patients without tamponade. The visual acuity and retinal view were also determined. Photographs were taken before and after the procdure.

Results: The YAG-capsulotomy required between 25 and 139 effects (mean: 69,8±42,4) and between 1.8 and 3.1 mJ energy (mean: 2,7±0,6 mJ) each. There was no improvement of visual acuity, but a clearer view during indirect ophthalmoscopy was achieved in all cases. Complications were not detected, except for a short intraocular pressure elevation (from 16 to 25 mmHg) in one eye.

Conclusion: YAG-capsulotomy in pseudophakic eyes with silicone oil tamponade is a save procedure for posterior capsule opacification. It requires significantly more effects and average energy than in eyes without tamponade. The outcome of visual acuity is mainly dependent on the status of CMV-retinitis in. Due to the low rate of complications , it seems to be justified to treat these eyes not only for visual improvement but also for diagnostic reasons.

Klinik für Augenheilkunde der Johann-Wolfgang-Goethe-Universität, Theodor-Stern-Kai 7, D-60590 Frankfurt am Main

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