Application of Y.A.G. laser as a step of E.C.C.E. has dominance over
the planned E.C.C.E. by being safer as the A.C. is not opened when manifesting
the peripheral iridectomy resulting minimiation of complications
adding the role of aqueous in sweeping the A.C. contents, and finally,
small incision at the corneoscleral junction which subsequently indicate
less sutures that is reflected upon the incidence of post-operative astigmatism
specially, and complications in general.
In soft cataract no need for surgical interference after the application of
the Y.A. G. laser provided that the patient receives local corticosteroids
and atropine to prevent iritis and its sequeles. where in such cases the
procedure was considered to be a closed technic.
As a conclusion, the indication of Y.A.G. laser as a step for iridectomy
followed by, capsulectomy is indicated in soft, diabetic and morgagan cataract. |