Nd:YAG laser posterior capsulotomy performed under general anesthesia in the sitting position: a novel approach

Main Article Content

Amanda L. Ely, MD
Seth M. Pantanelli, MD
Rucha K. Borkhetaria, BS
Carolyn A. Barbieri, MD
Patrick M. McQuillan, MD, FAAP


We present a novel approach for performing an Nd:YAG laser posterior capsulotomy under general anesthesia with the patent in a seated position. We illustrate this approach in 2 cases, a young child and an adult patient with developmental delay. This technique may facilitate YAG capsulotomy in patients who cannot sit for the procedure.


Download data is not yet available.

Article Details

How to Cite
Ely A, Pantanelli S, Borkhetaria R, Barbieri C, McQuillan P. Nd:YAG laser posterior capsulotomy performed under general anesthesia in the sitting position: a novel approach. Digit J Ophthalmol. 2023;29(2):36-39. doi:10.5693/djo.02.2023.01.001
Case Reports


Raj SM, Vasavada AR, Johar SR, Vasavada VA, Vasavada VA. Post-operative capsular opacification: a review. Int J Biomed Sci 2007;3:237-50.

Spierer A, Desatnik H, Blumenthal M. Refractive status in children after long-term follow up of cataract surgery with intraocular lens implantation. J Pediatr Ophthalmol Strabismus. 1999;36:25-9. DOI: https://doi.org/10.3928/0191-3913-19990101-06

Mian SI, Fahim K, Marcovitch A, Gada H, Musch DC, Sugar A. Nd:YAG capsulotomy rates after use of the AcrySof acrylic three piece and one piece intraocular lenses. Br J Ophthalmol 2005;89:1453-7. DOI: https://doi.org/10.1136/bjo.2005.067405

Steinert RF, Puliafito CA. The Nd:YAG Laser in Ophthalmology: Principles and Clinical Applications of Photodisruption. Philadelphia: WB Saunders; 1985.

Bath PE, Fankhauser F. Long-term results of Nd:YAG laser posterior capsulotomy with the Swiss laser. J Cataract Refract Surg 1986;12:150-3. DOI: https://doi.org/10.1016/S0886-3350(86)80031-1

Wesolosky JD, Tennant M, Rudnisky CJ. Rate of retinal tear and detachment after neodymium:YAG capsulotomy. J Cataract Refract Surg 2017;43:923-8. DOI: https://doi.org/10.1016/j.jcrs.2017.03.046

Naderi K, Allen F, Dowlut S, Karia N, Chandra A. The risk of rhegmatogenous retinal detachment following anterior vitrectomy during cataract surgery: with versus without pars plana vitrectomy. Graefes Arch Clin Exp Ophthalmol 2020;258:2425-9. DOI: https://doi.org/10.1007/s00417-020-04843-0

Kinori M, Jagannathan N, Langguth AM, et al. Pediatric Nd:YAG laser capsulotomy in the operating room: review of 87 cases. Int J Ophthalmol 2019;12:779-83. DOI: https://doi.org/10.18240/ijo.2019.05.12

Salazar D, Hazel A, Tauchen AJ, Sears BW, Marra G. Neurocognitive deficits and cerebral desaturation during shoulder arthroscopy with patient in beach-chair position: a review of the current literature. Am J Orthop (Belle Mead NJ) 2016;45:E63-8.

Winter A, DeKoven K, Superstein R, Hamel P. Nd:YAG laser capsulotomy under general anesthesia in the sitting position. J AAPOS 2014;18:208. DOI: https://doi.org/10.1016/j.jaapos.2013.10.021