Corneal Graft Rejection
After Posterior Capsulotomy

Iclal Yücel, Yusuf Akar
Department of Ophthalmology, Mediterranean
University School of Medicine, Antalya, Turkey

This report reviews 3 patients with pseudophakia who developed corneal graft rejection after undergoing Q-switched neodymium:yttrium-aluminum- garnet laser posterior capsulotomy for posterior capsular opacification. All patients had previously undergone a combined procedure of extracapsular cataract extraction with posterior chamber intraocular lens implantation in the capsular bag. Both the beneficial optical effects and the potential adverse effects should be carefully considered prior to performing neodymium:yttrium-aluminum-garnet laser posterior capsulotomy in patients with corneal graft. It is suggested that all efforts should be made for meticulous control and early intensive treatment of the inflammation and the intraocular pressure increment in patients with pseudophakia with corneal graft who require neodymium:yttrium-aluminum-garnet laser capsulotomies to improve the outcome of corneal grafts.