Flohr M J, Robin A L, Kelley J S
Ophthalmology. 1985 Mar;92(3):360-3. doi: 10.1016/s0161-6420(85)34026-5.
A prospective evaluation was conducted of Q-switched neodymium: YAG laser capsulotomy in 53 eyes followed for one postoperative month. The first 31 eyes were seen at two-hour intervals for the first eight hours, and the remaining eyes were checked only at the second postoperative hour during that day. Eighty-nine percent of eyes required a pulse setting of less than 1.7 mJ to successfully penetrate the posterior capsule. Visual acuity was improved in 91% of eyes. A transient immediate postoperative intraocular pressure (IOP) elevation was seen in over 75% of treated eyes, and one-third had an IOP elevation greater than 10 mmHg over the preoperative IOP. This elevation was most common in glaucomatous eyes and occurred in almost one-half of the treated eyes by the second postoperative hour. This IOP change did not correlate with the degree of inflammation, bleeding, anterior chamber debris, or total energy delivered. Minimal iris bleeding occurred in 9% of treated eyes and was associated with iridocapsular adhesions. Eighty-one percent of eyes with posterior chamber implants developed some degree of lens damage.
对53只眼进行了调Q钕:钇铝石榴石激光晶状体后囊切开术的前瞻性评估，术后随访1个月。前31只眼在术后前8小时每隔2小时检查一次，其余眼睛仅在术后当天第2小时检查。89%的眼睛成功穿透后囊所需的脉冲能量设置小于1.7 mJ。91%的眼睛视力得到改善。超过75%的治疗眼术后出现短暂的眼压升高，三分之一的患者眼压较术前升高超过10 mmHg。这种升高在青光眼眼中最为常见，术后第2小时几乎一半的治疗眼出现这种情况。这种眼压变化与炎症程度、出血、前房碎屑或总能量传递无关。9%的治疗眼出现轻微虹膜出血，并与虹膜晶状体粘连有关。81%有后房型人工晶状体植入的眼睛出现了一定程度的晶状体损伤。
