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An elderly patient presented to Croydon Eye Unit in 2004 with severe visual loss in her left eye, following Nd:YAG laser capsulotomy one day previously. Four years earlier, she had uneventful cataract phacoemulsification surgery to both eyes, resulting in unaided visual acuities of 20/20. Immediately prior to the left laser capsulotomy, her best-corrected visual acuities were 20/20 in her right eye and 20/60 in her left eye, the latter reduced due to posterior capsular opacification. Ocular examination was otherwise normal and there was no other relevant past ophthalmic or medical history.
The laser capsulotomy was performed with Tango dual mode laser (Ellex, Australia) using 58 mJ on a single pulse setting. The following day, her best-corrected left visual acuity was counting fingers, with ocular examination revealing no abnormalities. …