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August 1986

Bilateral Nonrhegmatogenous Retinal Detachment Following Neodymium-YAG Laser Iridotomies

Arch Ophthalmol. 1986;104(8):1134. doi:10.1001/archopht.1986.01050200040034

To the Editor.  —Complications following neodymium-YAG laser capsulotomy have been reported in the vitreous1 and the retina,2 including rhegmatogenous detachment of the retina.3 Nonrhegmatogenous serous detachment of the retina and choroid (uveal effusion syndrome), which has been reported to occur predominantly in nanophthalmic or normal-sized eyes with abnormally thick sclera and vortex vein anomalies,4 has not been reported after YAG laser iridotomy. We herein report such a case.

Report of a Case.  —A 69-year-old woman, whose left eye was amblyopic, suffered from a bacterial keratouveitis in 1981. Since then, pilocarpine hydrochloride drops were used in the left eye for chronic narrow angle glaucoma.In September 1985, the intraocular pressure (IOP) in both eyes was found to be elevated, and the patient was hospitalized. The corrected visual acuity was 20/30 (+6.0 diopters [D]) OD and 20/200 (+6.5 D) OS. Corneal diameters were 11 to 12 mm; keratometric

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