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February 2015

Endothelial Circles After Nd:YAG Posterior Capsulotomy

Author Affiliations
  • 1Department of Ophthalmology, University of California, San Francisco
  • 2Atlanta Ophthalmology Associates, Atlanta, Georgia
  • 3Francis I. Proctor Foundation, University of California, San Francisco
JAMA Ophthalmol. 2015;133(2):220-222. doi:10.1001/jamaophthalmol.2014.4289

The Nd:YAG laser uses infrared light focused at 1064 nm.1 Using a short pulse and high power, it causes plasma formation, resulting in shock or acoustic waves that disrupt target tissue.2,3 It is commonly used for laser periphery iridotomies and posterior capsulotomies. Common complications after Nd:YAG capsulotomy include intraocular pressure elevation, intraocular lens damage, and anterior uveitis.4,5 Herein, we describe 3 eyes in 2 patients with endothelial damage after Nd:YAG capsulotomy.