Pediatric Nd:YAG laser capsulotomy in the operating room: review of 87 cases
| Autor: | Marilyn B. Mets, Janice Lasky Zeid, Marjorie A Sasso, Rebecca Mets-Halgrimson, Bahram Rahmani, Anne M Langguth, Narasimhan Jagannathan, Sudhi P. Kurup, Michael Kinori, Hawke Yoon |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
posterior capsular opacification
medicine.medical_specialty Supine position business.industry medicine.medical_treatment Large series Sitting general anesthesia Surgery 03 medical and health sciences Ophthalmology 0302 clinical medicine lcsh:Ophthalmology Clinical Research lcsh:RE1-994 Nd:YAG laser pediatric cataract 030221 ophthalmology & optometry medicine Lateral Decubitus Position Standard protocol Capsulotomy Intubation yag capsulotomy business |
| Zdroj: | International Journal of Ophthalmology, Vol 12, Iss 5, Pp 779-783 (2019) |
| ISSN: | 2227-4898 2222-3959 |
| Popis: | Aim To report a large series of children having Nd:YAG laser capsulotomy in the operating room using the lateral decubitus position. Methods Medical records of children who underwent Nd:YAG laser capsulotomy in the operating room at Ann & Robert H. Lurie Children's Hospital of Chicago between September 2008 and April 2017 were reviewed. Induction of general anesthesia and intubation was performed in the supine position after which the patient was placed in lateral decubitus position. The Nd:YAG laser capsulotomy was performed using a standard protocol. At the completion of the procedure, the patient was turned back into the supine position and extubated. Results This study included 87 eyes of 60 patients. Patient's age ranged from 1 to 18y (mean 6.4±4.1y). In most cases (84/87, 97%), the procedure was performed under general anesthesia. In all cases, good focus on the membrane was achieved, and the procedure was performed successfully. There were no intraoperative ocular or anesthesia-related complications. Conclusion When performing Nd:YAG laser capsulotomy in the operating room, the lateral decubitus position allows an easy and safe approach without the risk of potentially devastating complications that have been associated with the previously described sitting and prone positions. |
| Databáze: | OpenAIRE |
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