Longmuir Susannah, Titler Sarah, Johnson Tim, Kitzmann Anna
Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
J AAPOS. 2013 Aug;17(4):417-9. doi: 10.1016/j.jaapos.2013.03.020. Epub 2013 Jul 27.
Neodymium-yttrium-aluminum-garnet (Nd:YAG) laser capsulotomy is commonly used to treat posterior capsule opacification after cataract surgery in adults. Children and adults with developmental delay, however, are not always cooperative, and the procedure must be performed under general anesthesia. We describe a technique for Nd:YAG capsulotomy under general anesthesia in the sitting position using the standard widely available Nd:YAG laser. Anesthesia was induced in the supine position and the patient was then transferred to the sitting position with chin in the slit-lamp laser delivery system. The procedure was performed without complications. We report our experience in 4 eyes of 3 patients, including 2 children. This technique is a viable option for those without access to an overhead-mounted Nd:YAG laser and an alternative to secondary posterior capsulotomy in selected patients.
钕钇铝石榴石（Nd:YAG）激光晶状体囊切开术常用于治疗成人白内障手术后的后囊膜混浊。然而，患有发育迟缓的儿童和成人并不总是配合，该手术必须在全身麻醉下进行。我们描述了一种在全身麻醉下采用标准的、广泛可用的Nd:YAG激光，让患者采取坐位进行Nd:YAG晶状体囊切开术的技术。在仰卧位诱导麻醉，然后将患者转移至坐位，下巴置于裂隙灯激光传输系统中。手术顺利完成，无并发症。我们报告了3例患者4只眼的经验，其中包括2名儿童。对于无法使用头顶式Nd:YAG激光的患者，该技术是一种可行的选择，也是特定患者二期后囊膜切开术的替代方法。
