YAG Laser Posterior Capsulotomy

YAG laser posterior capsulotomy is a brief outpatient procedure that restores clear vision when cloudiness develops behind an artificial lens after cataract surgery. This common condition, called posterior capsule opacification, can occur months or years after successful cataract surgery.

Understanding Posterior Capsule Opacification

During cataract surgery, the clouded natural lens is removed while the thin capsule surrounding it is left in place to support the new artificial lens. Over time, cells may grow across this capsule, causing it to become hazy. The National Eye Institute notes that this occurs in approximately 20-40% of patients within five years of cataract surgery.

Symptoms are often similar to the original cataract:

• Gradual blurring of vision

• Glare or halos around lights

• Difficulty reading or seeing fine details

• Reduced contrast sensitivity

The Procedure

YAG laser capsulotomy uses a precisely focused laser to create a small opening in the clouded capsule, allowing light to pass through clearly again.

• Performed at the slit lamp in the clinic

• Takes approximately 5-10 minutes

• No incisions or injections required

• Anaesthetic eye drops provide comfort

• You remain seated and awake throughout

The American Academy of Ophthalmology provides detailed information about what patients can expect during this procedure.

What to Expect Afterwards

Most patients notice improved vision within hours to days. The cloudiness cannot return once the capsule has been opened, so this is typically a one-time treatment.

You may notice floaters temporarily after the procedure-these usually settle within a few weeks.

Potential Risks

While YAG capsulotomy is generally safe, patients should be aware of potential risks:

• Floaters are common initially and usually temporary

• Temporary increase in eye pressure may occur and is monitored after the procedure

• Retinal detachment is a rare but serious complication (less than 1-2%), with higher risk in patients who are highly short-sighted

• Inflammation is typically mild and managed with eye drops

• Damage to the artificial lens is uncommon with modern techniques

Your ophthalmologist will discuss your individual risk factors, particularly if you have a history of retinal problems or high myopia.

Medical Disclaimer: This information provides general guidance about YAG laser capsulotomy and should not replace professional medical advice. Individual outcomes depend on various factors including your eye health and the characteristics of the capsule opacification. Please consult with our ophthalmologists for assessment and recommendations specific to your situation.