Featuring the Nd:YAG laser capsulotomy in the operating room

摘要

We read with interest the article of Kinori titled ‘Pediatric Nd:YAG laser capsulotomy in the operating room: review of 87 cases’. Facilities for laser capsulotomy under general anesthesia are essential for young children and uncooperative patients undergoing cataract surgery. The alternative, secondary surgical capsulotomy with anterior vitrectomy is needlessly invasive and potentially complicated when compared to the quick and safe laser capsulotomy procedure. Dedicated Nd:YAG lasers for this purpose are costly whereas slit-lamp-mounted Nd:YAG lasers are ubiquitous in ophthalmology offices, usually set on mobile height-adjustable tables. Our technique is similar but even simpler. Like Kinori , we have also found that bringing the office laser into the operating room to be most cost-effective.