Intraocular lens pupillary capture after neodymium:YAG laser treatment of interlenticular opacification of posterior chamber piggyback intraocular lenses.

A hyperopic 73-year-old woman had bilateral phacoemulsification with primary implantation of piggyback AcrySof intraocular lenses (IOLs) (Alcon) in the capsular bag. Interlenticular opacification (ILO) developed after 6 months in the left eye and after 2 years in the right eye. Treatment of the ILO in the left eye with a neodymium:YAG (Nd:YAG) laser resulted in pupillary capture of the optic of the anterior IOL. This case shows that despite using low energy levels, pupillary capture of the anterior IOL can occur after Nd:YAG laser treatment for ILO in piggyback IOLs.