Moshirfar Majid, Tukan Alyson N, Bundogji Nour
Hoopes Vision Research Center, Draper, UT, USA.
John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT, USA.
SAGE Open Med Case Rep. 2022 May 18;10:2050313X221097775. doi: 10.1177/2050313X221097775. eCollection 2022.
Inadvertent neodymium: yttrium-aluminum-garnet (Nd:YAG) capsulotomies are rare, with only one incident reported in the literature prior to the present case. We discuss the management of a phakic patient with a dense posterior subcapsular cataract who underwent yttrium-aluminum-garnet (YAG) capsulotomy for presumed posterior capsular opacification. Operative course involved cataract surgery with anterior vitrectomy for prolapsed lens fragments due to the disrupted posterior capsule. This patient experienced excellent visual outcomes postoperatively, with ultimate best-corrected visual acuity of 20/20. This case underscores the importance of thorough preoperative time out, including confirmation of patient's understanding of the intended procedure.
意外钕钇铝石榴石（Nd:YAG）晶状体囊切开术很罕见，在本病例之前文献中仅报道过一例。我们讨论了一例有晶状体眼患者，其患有致密的后囊下白内障，因推测有后囊膜混浊而接受了钇铝石榴石（YAG）晶状体囊切开术。手术过程包括白内障手术及因后囊膜破裂导致晶状体碎片脱垂而进行的前部玻璃体切除术。该患者术后视力恢复极佳，最终最佳矫正视力达到20/20。此病例强调了术前全面核对的重要性，包括确认患者对预定手术的理解。
