LATE POSTERIOR SEGMENTAL COMPLICATIONS AFTER ND YAG CAPSULOTOMY AND WAYS TO MINIMIZE THEM

Despite the widespread use of Nd:YAG capsulotomy and its recognized efficacy, late posterior segmental complications - damage to the optical zone of the intraocular lens and vitreoretinal changes - remain an underestimated problem. IOL pitting compromises image quality even with preserved visual acuity, and vitreomacular traction and posterior hyaloid membrane tears can serve as a trigger for late retinal detachment. Clear threshold values of permissible total laser energy and retinal monitoring algorithms for patients with different axial eye length have not been formulated yet, which leads to variability of tactics and heterogeneity of outcomes. Considering the increasing number of highly myopic patients and increasing average life expectancy after IOL implantation, systematic study of risk factors and development of personalized recommendations for laser energy reduction and dispensary monitoring are of great clinical importance to prevent late visual loss.