Fluorescent angiographic evaluation of the iris microcirculation in cataract extraction by Nd:YAG laser with wavelength of 1.44 mcm
Kopaeva, V.G.; Kishkina, V.I.; Andreev, I.V.
Vestnik Oftalmologii 119(1): 26-30
2003
ISSN/ISBN: 0042-465X PMID: 12608041 Document Number: 558476
The purpose of the present study is to evaluate the iridial microcirculation by fluorescent iridial angiography after laser cataract extraction by using a new extraction device, i.e. "RAKOT", based on the Nd:YAG-laser with wave length of 1.44 mcm. 25 eyes (21 patients) aged 71 to 87 with mature senile cataract were examined. The method of laser cataract extraction was used in 14 cases. These eyes made up the main examination group. As for the controls (11 eyes), the manual technic of cataract extraction was used for them. The results in the main group show that the degree of the response of the iridial microvessels to surgery is insignificant and the microcirculation restores completely in 1.5-2 months after surgery provided there are no initial pathological changes in the iridial microcirculation (3 eyes). A short-time intensification of permeability of the iridial microcirculation is possible in eyes with a pronounced initial pathology in the iris (11 cases), however it restores to the original level during 3-3.5 months after surgery. The iridial microcirculation restores in the controls during 3 months after surgery. The described data demonstrate that the laser cataract extraction does not lead to pronounced iridial vascular disorders. A comparison with the controls is indicative of a lower trauma in case of laser method versus the manual technic of lens extraction.