Purpose:

A retrospective study to evaluate the outcome of Nd:YAG laser circular anterior capsulotomy and Nd:YAG laser radial incision anterior capsulotomy in management of anterior capsular contraction syndrome and to compare between them in efficacy and rate of complications.

Setting:

Egypt

Methods:

A retrospective study to evaluate the outcome of Nd:YAG laser circular anterior capsulotomy and Nd:YAG laser radial incision anterior capsulotomy in management of anterior capsular contraction syndrome and to compare between them in efficacy and rate of complications. This study included 34 eyes of 31 patients with capsular contraction syndrome. 15 eyes were treated by Nd:YAG laser circular anterior capsulotomy and 19 eyes were treated by Nd:YAG laser radial incision anterior capsulotomy. All cases were followed up for at least 6 months. The two procedures were evaluated by relief of capsular contraction, IOL decentration, re-contraction and other complications.

Results:

Nd:YAG laser circular anterior capsulotomy cases showed relief of contraction in 14 eyes (93.3%), re-contraction in 1 eye (6.6%) and no IOL decent ration. Neodymium:YAG laser radial incision anterior capsulotomy cases showed relief of contraction in 14 eyes (73.6%), re-contraction in 2 eyes (10.5%), IOL decentration in 2 eyes (10.5%) and IOL posterior dislocation in 1 eye.

Conclusions:

Both techniques were effective but Nd: YAG laser circular anterior capsulotomy was superior. Less complications occurred with Nd: YAG laser circular anterior capsulotomy.