[ND YAG laser impact for creating a pupil].

PURPOSE: Using the energy of Nd YAG laser for creating a pupil and achievement of best functional and esthetic effect.

MATERIAL AND

METHODS

For creating a pupil in membranous cataract and pupillar membranes we used Nidek Nd YAG laser in 53 eyes with pseudophakia, senile and traumatic aphakia. We used individual method of approach in each eye. In some of the eyes a complex of laser treatment: membranectomy, iridectomy, anterior vitreolysis in several treatments. We defined the average power of the laser beam and the average number of applications for attaining best results.

RESULTS

The creation of pupil plan was connected with the immediate improvement of the visual acuity. In 41 of the eyes (77.35%) it reached value between 0.4 and 1.0. The IOP was compensated up to the 24th hour with local beta-block.

CONCLUSION

The use of the Nd YAG laser energy for creating a pupil is uninvasive, modern, spare microsurgical method. An excellent functional and esthetic effect was achieved and no adjacent tissue was damaged while using it in closed eye ball conditions.