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Case Report

Non-Arteritic Anterior Ischemic Optic Neuropathy after YAG Capsulotomy - A Case Report

Abstract

A 61 year old African American female underwent a Yttrium-Aluminum-Garnett (YAG) laser capsulotomy in the left eye. She presented with pain and blurry vision one day later and was found to have elevated intraocular pressure which persisted for a few days in spite of topical eye pressure lowering eye drops and oral acetazolamide. One week later the patient developed optic disc edema and a new visual field defect in the left eye. Local ocular and systemic evaluation was unremarkable for other causes of optic neuropathy, and the patient developed optic disc pallor several weeks later. The presumptive diagnosis was non-arteritic anterior ischemic optic neuropathy which has been previously reported after cataract surgery although occurrence after YAG capsulotomy is not known.

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