Kara Necip, Yazici Ahmet Taylan, Bozkurt Ercument, Yildirim Yusuf, Demirok Ahmet, Yilmaz Omer Faruk
Beyoglu Eye Research and Education Hospital, Istanbul, Turkey.
Int Ophthalmol. 2011 Aug;31(4):303-7. doi: 10.1007/s10792-011-9461-9. Epub 2011 Aug 14.
To compare the effect of Nd:YAG laser capsulotomy and primary posterior continuous capsulorhexis (PPCC) combined with phacoemulsification on macular thickness using optical coherence tomography (OCT) in adults. This prospective comparative interventional study included 32 eyes of 30 patients who underwent Nd:YAG laser capsulotomy and 33 eyes of 33 patients who underwent cataract surgery with PPCC. Detailed ocular examinations, including macular thickness measurements by OCT, were performed in all patients preoperatively and postoperatively on the 1st day, 1st week, and 1st, 3rd and 6th months. No significant differences were found in macular thickness between the two groups in preoperative and postoperative follow-up. No cystoid changes were observed in OCT during the postoperative period in both groups. Nd:YAG laser capsulotomy and PPCC combined with cataract surgery are safe and effective procedures that are not associated with an increase in macular thickness.
比较成人中使用光学相干断层扫描（OCT）评估钕钇铝石榴石（Nd:YAG）激光晶状体囊切开术与原发性后连续环形撕囊（PPCC）联合超声乳化术对黄斑厚度的影响。这项前瞻性比较干预性研究纳入了30例接受Nd:YAG激光晶状体囊切开术患者的32只眼，以及33例接受PPCC白内障手术患者的33只眼。所有患者在术前、术后第1天、第1周以及第1、3和6个月均进行了详细的眼部检查，包括通过OCT测量黄斑厚度。两组在术前和术后随访中的黄斑厚度均未发现显著差异。两组术后期间OCT均未观察到囊样改变。Nd:YAG激光晶状体囊切开术和PPCC联合白内障手术是安全有效的手术，不会导致黄斑厚度增加。
