Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Inder Paul Singh
Scientific Tracks Abstracts: J Clin Exp Ophthalmol
Purpose: To assess the impact of Yttrium Aluminium Garnet (YAG) vitreolysis for removal of floaters on patient’s satisfaction
and to determine rate of complications with this procedure.
Methods: This retrospective, observational study included 326 eyes of n=218 patients (mean age, 66 years [range, 38 to 89 years])
who underwent YAG vitreolysis with the Ultra Q Reflex™ (Ellex Medical Lasers, Adelaide, Australia), a neodymium-doped (Nd)
YAG laser in an office outpatient setting. [Power range 2.0 mj-7.0mj] A 21 mm lens with hypromellose ophthalmic demulcent
solutionwas placed on the cornea to help visualize the vitreous floaters. Laser was then fired once adequate visualization was
achieved.Patient satisfaction was assessed with a 1-10 self-rated scale with higher values indicating greater patient satisfaction
as well as a “Yes” or “No” indicating whether they were satisfied with improvement in daily functioning. Information on
complications was recorded for all patients.
Results: A total of 93% of patients answered “yes” when asked if they were satisfied with their post laser improvement in daily
functioning. Average degree of improvement from the subjective questionnaire was 8.3/10.Best results were seen with solitary
Weiss rings verses amorphous “clouds”. Average number of sessions per eye is 1.4. Average number of shots: 302-more seen with
amorphous floaters. Average power setting used: 4.0 mJ.
Conclusions: We observed two cases of intraocular pressure spikes requiring IOP lowering meds. Two phakic lenses were
damaged, one of which required cataract surgery. No retinal detachment or other retinal complications were seen and there was
no anterior chamber or vitreous reaction. No haemorrhages were observed.