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May 1986

Neovascular Glaucoma Following Neodymium-YAG Laser Posterior Capsulotomy

Author Affiliations

From the Department of Ophthalmology, University of California-San Diego.

Arch Ophthalmol. 1986;104(5):730-731. doi:10.1001/archopht.1986.01050170120035

• Iris neovascularization and neovascular glaucoma were diagnosed in three diabetic patients following neodymiumYAG laser posterior capsulotomy. Each of the patients had previously undergone an uncomplicated extracapsular cataract extraction with insertion of a posterior chamber lens implant. These occurrences are consistent with the hypothesis that the posterior lens capsule may serve as a protective barrier to a diffusible vasoproliferative factor from the vitreous or retina. Both the beneficial optical effects and the potential adverse effects should be carefully considered prior to performing neodymium-YAG laser posterior capsulotomy in diabetic patients or other patients with ischemia in the fundus. Following neodymium-YAG laser posterior capsulotomy, these eyes should be closely followed up for signs of neovascularization and possible panretinal photocoagulation.

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