YAG Laser Capsulotomy
Patients who have undergone cataract surgery can develop posterior capsule opacification (PCO) months or even years after the procedure. This occurs when the capsule that supports the inserted intraocular replacement lens becomes cloudy, leading to symptoms such as blurred vision, glare, or halos similar to those experienced before cataract surgery.
Overview
Posterior capsule opacification (PCO) can be treated using a YAG laser to create a small opening in the cloudy capsule. This allows restoration of vision and reduces symptoms such as glare or halos.
Patients should expect to have a dilated eye examination, with the laser treatment usually performed on the same day. In most cases, an improvement in vision is noticed within 24 hours and normal activities can be resumed shortly after.
Treatment Options
• YAG laser capsulotomy to treat posterior capsule opacification following cataract surgery
Exclusions & Limitations
In rare cases, other underlying eye conditions may need to be assessed before proceeding with YAG laser treatment.
Benefits
• Improved vision
• Non-invasive procedure
• Can be performed on the same day as consultation
• Takes approximately 5 to 10 minutes per eye
• Rapid recovery
Risks & Complications
Although YAG laser capsulotomy is a very safe procedure, it can be associated with some risks:
• Floaters – usually temporary and settle over weeks to months, but rarely may persist
• Raised intraocular pressure – uncommon and may require pressure-lowering eye drops
• Damage to the intraocular lens (laser-induced pits) – uncommon, but may occur if laser focusing is affected or if there is patient movement during treatment
Procedure Details
- Duration: 5–10 minutes per eye
- Anaesthesia: Topical anaesthetic eye drops
- Recovery: Immediate to within 24 hours
Experience
With over 17 years’ experience as a Newcastle-based NHS consultant ophthalmic surgeon, I aim to offer high-quality eye care services to maximise and maintain sight in order to meet my patients’ needs.