Nd:YAG laser posterior synechiolysis expands the spectrum of Nd:YAG laser - A case report

Since its initial description in 1964, numerous clinical applications of Neodymium:yttrium-aluminium-garnet (Nd:YAG) laser have evolved. The most common applications in ophthalmology include correction of posterior capsular opacification by capsulotomy and treatment of angle closure glaucoma by peripheral iridotomy. We present the case of a 62-year-old pseudophakic male with symptoms of glare and decreased vision in his right eye whose ocular examination revealed four focal areas of posterior synechiae. Synechiae were refractory to subsequent mydriatic therapy, and Nd:YAG laser was successfully used to achieve posterior synechiolysis. This case demonstrates the efficacy, speed, and non-invasive nature of Nd:YAG laser synechiolysis in pseudophakic patients. © 2009 Elsevier GmbH. All rights reserved.