Aqueous misdirection syndrome: a complication of neodymium: YAG posterior capsulotomy.
Mastropasqua L, Ciancaglini M, Carpineto P, Lobefalo L, Gallenga P E
AI Summary
Nd:YAG capsulotomy can cause aqueous misdirection (malignant glaucoma), where fluid pockets behind the iris elevate eye pressure. Medical therapy effectively resolved this rare, serious complication.
Abstract
A 50-year-old, white, pseudophakic man who had a neodymium:YAG (Nd:YAG) posterior capsulotomy for capsule opacification developed a persistent rise in intraocular pressure (IOP) associated with a flat anterior chamber. Full-thickness patent iridotomy performed with an Nd:YAG laser did not reduce IOP. A-scan ultrasonography showed aqueous pockets in the vitreous, leading to a diagnosis of malignant glaucoma. Medical therapy comprising atropine, phenylephrine, mannitol, and acetazolamide normalized IOP and resolved the clinical findings.
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