The Rate Of Intraocular Pressure Elevations After Yag Laser Posterior Capsulotomies
Published 2022 - 40th Congress of the ESCRS
Reference: PP12.04 | Type: ESCRS 2022 - Posters | DOI: 10.82333/mxbd-z640
Authors: Sunil Khanna* 1 , Michael Mahr 1 , Cheryl Khanna 1
1Ophthalmology,Mayo Clinic,Rochester,United States
Purpose
To determine the rate of intraocular pressure elevations greater than 30 mmHg after YAG laser posterior capsulotomies
Setting
Academic multispecialty group practice
Methods
A retrospective EPIC Clarity electronic medical record (EMR) chart review of all YAG laser posterior capsulotomies performed between March 2018 and July 2021 at the Mayo Clinic Department of Ophthalmology Rochester, MN USA.
Results
1,469 YAG laser posterior capsulotomies were performed for 1,222 patients with 94% having a pre-procedure and 34% having a post-procedure intraocular pressure (IOP) measurement on the day of the procedure identifiable using an algorithmic retrospective electronic database review. There was no significant difference between the mean pre-procedure and post-procedure IOP (13.9 vs. 13.6 mmHg; p=0.42; 95% CI [-0.17,0.77]). Six post procedure IOP measurements representing 0.4% of the procedures and 1.2% of the recorded post-procedure IOPs were ≥ 30 mmHg. Of the 6 elevated post-procedure IOP measurements, all (100%) of the patients had a glaucoma diagnosis noted at one or more visits in the EMR.
Conclusions
Same day intraocular pressure measurements 30 mmHg or greater after a YAG laser capsulotomy procedure are uncommon and most likely to occur in patients having a glaucoma diagnosis.