Purpose To evaluate circular neodymium: YAG
laser incision in cases of anterior capsular contraction
syndrome (ACCS) by comparing it to radial Neodymium: YAG laser incision as for efficacy and safety.
Settings Ophthalmology Department, Benha
University Hospitals.
Methods The study was done on 74 eyes of 66
patients with symptomatic ACCS. Eyes were randomly allocated to one of the two groups. Group I
were treated by circular YAG laser anterior capsulotomy. Group II were treated by radial YAG laser
anterior capsulotomy. All cases passed a full ophthalmic examination before laser capsulotomy,
1 week, 1 month, 6 months and 12 months after laser.
Results BCVA at the 1st week and the 1st month
after the capsulotomy did not show any significant
difference between the two groups; however at the 3rd
and 6th months, the circular group showed better
visual acuity than the radial group (p 0.001 and
0.001, respectively). All post-YAG UCVA and
BCVA were significantly higher than pre-YAG
UCVA and BCVA in both groups. IOL decentration
occurred in two cases in radial group. Circular group
had significantly higher percentage of contraction
relief (94.4%) than the radial group (66.7%) with
p value 0.003.
Conclusion Circular Nd:YAG anterior capsulotomy
is more effective and safe than radial capsulotomy in
1-year follow-up.