<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2604-1227</journal-id>
<journal-title><![CDATA[Revista mexicana de oftalmología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. oftalmol]]></abbrev-journal-title>
<issn>2604-1227</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Oftalmología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2604-12272019000200083</article-id>
<article-id pub-id-type="doi">10.24875/rmoe.m19000054</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Secondary ocular hypertension as a complication of posterior capsulotomy with Nd YAG laser in glaucoma suspect]]></article-title>
<article-title xml:lang="es"><![CDATA[Hipertensión ocular secundaria a complicaciones por capsulotomía posterior con Nd YAG láser en sospechoso de glaucoma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramón-Concepción]]></surname>
<given-names><![CDATA[Abel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chávez-Gutiérrez]]></surname>
<given-names><![CDATA[Karla G.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chávez-Gutiérrez]]></surname>
<given-names><![CDATA[Ricardo D.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sital-Gastelum]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romo-García]]></surname>
<given-names><![CDATA[Efraín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos-Espinoza]]></surname>
<given-names><![CDATA[Karina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villagomez-Tirado]]></surname>
<given-names><![CDATA[Germán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez-Félix]]></surname>
<given-names><![CDATA[Jesús R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paz-Camacho]]></surname>
<given-names><![CDATA[Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chavéz-Romero]]></surname>
<given-names><![CDATA[Yolanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Investigación y Docencia en Ciencias de la Salud  ]]></institution>
<addr-line><![CDATA[Culiacán Sinaloa]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Civil de Culiacán  ]]></institution>
<addr-line><![CDATA[Culiacán Sinaloa]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de Culiacán  ]]></institution>
<addr-line><![CDATA[Culiacán Sinaloa]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>93</volume>
<numero>2</numero>
<fpage>83</fpage>
<lpage>88</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2604-12272019000200083&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2604-12272019000200083&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2604-12272019000200083&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Posterior capsulotomy is indicated when the visual acuity is committed so that impacts the performance of ordinary activities or exploring the posterior pole structures as in the evaluation of the retina or optic nerve is difficult. As expected is not free of complications. There are reports of intraocular lens (IOL) pitting, elevation of intraocular pressure (IOP), cystoid macular edema, retinal detachment, endophthalmitis, iritis, vitritis, corneal edema and macular holes. Multidisciplinary immediate management of complications of posterior capsulotomy Nd-YAG laser prevents loss of corneal clarity and diminishes or prevents optic neuropathy secondary to increased IOP. We report the case of 70-year-oldwoman who presents 48 h after performing posterior capsulotomy with Nd-YAG laser with ocular pain and IOP of 34 mmHg. The inicial management included topical and oral ocular hypotensive and inflammatory therapy achieving normal eye pressure. During slit lamp biomicroscopy we found microguttae in corneal endothelium, vitreous in the anterior chamber, IOL dislocation, retinal pigment epithelial detachment (RPED), subretinal fluid and corneal edema. A vitrectomy was performed. We decided conservative treatment of the IOL, close monitoring and treatment of IOP and specular microscopy as part of a comprehensive treatment. Finally, subretinal fluid reabsorption is achieved although RPED remains with no changes, we achieve resolution of corneal and IOP is 12 mmHg without ocular antihypertensives. The final visual acuity is 20/40&#8722;2.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La realización de capsulotomía posterior está indicada cuando la agudeza visual está comprometida de tal forma que impacta en la realización de las actividades ordinarias o imposibilita la exploración de estructuras del polo posterior, como en la evaluación de la retina o del nervio óptico. Como es de suponer, no se encuentra libre de complicaciones. Dentro de las reportadas se encuentran: daño al lente intraocular, elevación de la presión intraocular (PIO), edema macular cistoide, desprendimiento de retina, endoftalmitis, iritis, vitritis, agujeros maculares y edema corneal. Presentamos el caso de un paciente de sexo femenino de 70 años que 48 h después de la realización de capsulotomía posterior con láser Nd-YAG acude con dolor ocular y PIO de 34 mmHg. Se inicia manejo tópico y oral con hipotensores oculares y antiinflamatorios, con lo que se logran presiones oculares normales. Se encuentran en la exploración otras complicaciones como microgutas en el endotelio corneal, vítreo en cámara anterior, subluxación de LIO, desprendimiento del epitelio pigmentado de la retina, líquido subretiniano y edema corneal. Se decide vitrectomía y manejo conservador del LIO, seguimiento estrecho de PIO y conteo endotelial. Se logra reabsorción del líquido subretiniano, resolución del edema corneal y PIO de 12 mmHg sin hipotensores. La agudeza visual final es 20/40-2. El manejo multidisciplinario inmediato de las complicaciones de la capsulotomía posterior con láser Nd-YAG previene la pérdida de la transparencia de la córnea y disminuye o evita la neuropatía óptica secundaria al aumento de la PIO.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Ocular hypertension]]></kwd>
<kwd lng="en"><![CDATA[Capsulotomy]]></kwd>
<kwd lng="en"><![CDATA[Nd YAG-Laser]]></kwd>
<kwd lng="en"><![CDATA[Retinal pigment epithelial detachment]]></kwd>
<kwd lng="es"><![CDATA[Hipertensión ocular]]></kwd>
<kwd lng="es"><![CDATA[YAG-Láser]]></kwd>
<kwd lng="es"><![CDATA[Desprendimiento del epitelio pigmentado de la retina]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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