Laser posterior capsulotomy


Laser posterior capsulotomy, or YAG laser capsulotomy, is a noninvasive procedure performed on the eye to remove the opacification (cloudiness) that develops on the posterior capsule of the lens of the eye after extraction of a cataract. This differs from the anterior capsulotomy that the surgeon makes during cataract extraction to remove a cataract and implant an intraocular lens (IOL). Laser posterior capsulotomy is performed with Nd:YAG laser, which uses a wavelength to disrupt the opacification on the posterior lens capsule. The energy emitted from the laser forms a hole in the lens capsule, removing a central area of the opacification. This posterior capsule opacification (PCO) is also referred to as a secondary cataract.

PCO formation is an attempt by the eye to make a new lens from remaining lens material. One form of PCO is a fibrosis that forms inside the capsule by lens epithelial (covering) cells that migrate from the anterior capsule to the posterior capsule when the anterior lens capsule is opened to remove the primary cataract and insert the IOL. Opacification is also be formed by residual lens cortex cells. The epithelial cells can transform into myofibroblasts and proliferate; myofibroblasts are precursors to muscle cells and capable of contraction. The deposit of collagen on these cells leaves the posterior lens capsule with a white, fibrous appearance. This type of opacification can appear within days of cataract surgery. The greatest capsule opacification is found around the edges of the IOL, where the anterior and posterior lens capsules adhere and form a seam, called Soemmering's ring.

Elschnig's pearls are a proliferation of cells on the outside of the capsule. This type of PCO can be several layers thick and develops months to years after cataract surgery. Elschnig's pearls can also appear along the margins of a previously performed laser capsulotomy.

A secondary cataract will also form from wrinkling of the lens capsule, either secondary to contraction of the myofibroblasts on the capsule or because of stretching of the capsule by haptics, or hooks, used to hold the IOL in place.

Posterior capsule opacification is the most common complication of cataract removal or extraction. It does not occur when an anterior chamber lens is implanted, because in this procedure the capsule is usually extracted along with the cataract, and a lens is attached to the iris in the front part of the eye, called the anterior chamber. This technique for cataract removal is not often performed.


The purpose of a laser capsulotomy is to remove a PCO. This procedure dramatically improves visual acuity and contrast sensitivity and decreases glare. The visual acuity before capsulotomy can be as poor as 20/400, but barring any other visual or ophthalmologic conditions, the patient will see as well after a laser posterior capsulotomy as after removal of the original cataract. Laser capsulotomies are usually performed once a patient's vision is 20/30.


Approximately 20% of patients who undergo cataract extraction with placement of an intraocular lens into the posterior lens capsule will eventually undergo a laser capsulotomy, although a PCO may appear in up to 50% of patients who have undergone cataract surgery. The average time after cataract extraction for this procedure to be performed is two years, but it may be performed as early as three months after cataract removal, or as late as five years afterward.

Patients who fall into groups with an increased incidence of a secondary cataract formation have an increased rate of YAG capsulotomy. Patients who are younger when undergoing cataract removal are more likely to develop a PCO than are geriatric patients. This is particularly true of pediatric patients who are experiencing ocular growth. The incidence of PCO is higher in women than in men. Fifty percent of patients who experience papillary, or iris capture, of the IOL, which occurs if the IOL moves through the pupil (a hole in the iris) from its position in the posterior chamber of the eye to the anterior chamber, will form a PCO and benefit from laser capsulotomy.

The degree and incidence of capsule opacification also varies with the type of implant used in the initial cataract operation. Larger implants are associated with decreased opacification, and round-edged silicone implants are associated with a greater incidence of opacification than are acrylic implants, which have a square-edged design. These two types of IOLs are called foldable implants because they unfold after being placed in the eye, allowing for a smaller incision on the front of the eye during cataract surgery. Also, the incidence of PCO is less with a silicone IOL than with a rigid IOL. The greater the amount of remaining lens material after extraction, especially in the area of Soemmering's ring, the greater the probability of PCO formation and laser capsulotomy. Also, diabetic patients are more likely to require a YAG capsulotomy than are non-diabetic patients. This is especially true for YAG capsulotomies performed on diabetics 18 months or later after cataract removal. The extent of diabetic retinopathy does not correlate with incidence of PCO or laser capsulotomy. Finally, insufficient dilation of the pupil during cataract surgery and inexperience of the surgeon doing cataract removal contribute to an increased risk of secondary cataract formation.


Laser capsulotomy is usually performed in an ophthalmologist's office as an outpatient procedure. Before beginning the capsulotomy, the patient is given an informed consent for the procedure. An hour before the laser capsulotomy, a drop of a pressure-lowering drug such as timoptic or apraclonidine is administered. A weak dilating drop to enlarge the pupil is applied to the eye. The eye may be anesthetized locally if the doctor uses a special contact lens for the procedure.

The patient then puts the head in the chinrest of a slit lamp microscope, to which a laser is attached. The doctor then may place a special lens on the front of the eye. It is important that the patient remain still as the doctor focuses on the posterior capsule. A head strap to help keep the patient's head in place may be used. While focusing on the posterior capsule, the doctor, with repeated bursts from the Nd:Yag laser in a circular manner, disrupts the PCO. An opening forms on the posterior part of the lens capsule as part of the PCO falls off of the posterior capsule and into the vitreous. Another drop of apraclonidine, or other pressure-lowering eyedrop, is applied to the eye as a preventative measure for increased pressure in the eye, which is experienced by most patients after the procedure. This is a brief procedure lasting only a few minutes and is not associated with pain.


Prior to performing a posterior capsulotomy, the doctor will perform a thorough ophthalmic examination and review any systemic medical problems. The ophthalmologic includes evaluation of visual acuity, slit-lamp biomicroscope examination of the eye to assess the extent and type of opacification and rule out inflammation or swelling in the front of the eye, measurement of intraocular pressure, and a thorough evaluation of the fundus or back of the eye to check for retinal detachments and macular problems, which would limit the extent to which the YAG capsulotomy could improve vision. A potential acuity meter (PAM) may be used to ascertain best expected visual acuity after YAG capsulotomy, and brightness acuity testing will determine the extent of glare experienced by the patient. Contrast sensitivity testing is employed by some doctors.

This procedure cannot be performed in the presence of certain preexisting ophthalmologic conditions. For example, irregularities of the cornea would interfere with the ability of the doctor to see the posterior capsule. Also, a laser capsulotomy could not be performed if there is ongoing inflammation in the eye, or if swelling of the macula (a part of the retina) is present. A laser capsulotomy would be contraindicated with glass IOLs. If macular edema is suspected, which can occur in up to 30% of patients who have undergone cataract surgery, a test called a fluoroscein angiography may also be performed.


After a laser capsulotomy, the patient will remain in the office for one to four hours so that the pressure in the eye can be evaluated. The patient can then resume normal everyday activities. After surgery, pressure-lowering eyedrops may be used for a week, if the intraocular pressure is raised significantly after the procedure. Cycloplegic agents to keep the pupil dilated and to prevent spasm of the muscles in the iris, and steroids to reduce inflammation may also be prescribed for up to a week. Follow-up visits are scheduled at one day, one week, one month, three months, and six months after capsulotomy.


One risk of laser capsulotomy is damage to the intraocular implant. Factors that determine the extent of damage to the IOL include the inherent resistance of a particular IOL to damage by the laser, the amount of energy used in the procedure, the position of the IOL within the lens capsule, and the focusing accuracy of the surgeon. The thicker the opacification of the lens capsule, the greater the amount of energy needed to remove it. The accuracy of the surgeon is improved when there is less opacification on the lens capsule.

In addition, during laser capsulotomy the IOL can be displaced into the eye's vitreous. This happens more often in eyes with a rigid implant, rather than with acrylic or silicone IOLs, and also if a larger implant is used. If the posterior capsule ruptures during extraction of the primary cataract, risk of lens displacement is also increased. Displacement risk is also increased if the area over which the laser capsulotomy is done is large. The most serious complication of a capsulotomy would be IOL damage so extensive that extraction would be required. This is a rare complication.

Another risk of this surgery is the re-formation of Elschnig's pearls over the opening created by the capsulotomy. This occurs in up to 80% of patients within two years of laser capsulotomy. Most of time, these PCOs will resolve over time without treatment, but 20% of patients will require a second laser capsulotomy. This secondary opacification by Elschnig pearls represents a spatial progression of the opacification that caused the initial secondary cataract.

Other risks to take into account when considering a posterior capsulotomy are macular edema, macular holes, corneal edema, inflammation of the iris, retinal detachment, and increased pressure in the eye, as well as glaucoma. These risks escalate with increased laser energy and with increased size of the capsulotomy area. Retinal detachments are usually treated with removal of the vitreous behind the lens capsule. Macular edema is treated by application of topical anti-inflammatory drops or intraocular steroid injections. Steroids control iritis (inflammation of the iris), either topically or intraocularly. Macular holes are also treated by removal of the vitreous (the substance that fills the main area of the eyeball), followed by one to three weeks of facedown positioning. Elevated intraocular pressure and glaucoma are treated with anti-glaucoma drops or glaucoma surgery, if necessary.

Finally, increased glare at night may result when the size of the capsulotomy is smaller than the diameter of the pupil during dark conditions.

Normal results

Within one to two days after surgery, maximum visual acuity will be attained by almost 99% of patients. Once the opacification is removed, most patients will not need a change in spectacle prescription. However, patients who have undergone implantation of a rigid IOL may experience an increase in hyperopia, or far-sightedness, after a capsulotomy. For a few weeks after surgery, the presence of visual floaters, which are pieces of the excised capsule, is normal. But, the presence of floaters months after this timeframe, especially if accompanied by flashes of light, may signal a retinal tear or detachment and require immediate attention. Also, if vision suddenly or gradually worsens after an initial improvement, further follow-up to determine the cause of a decrease in visual function is imperative.

Morbidity and mortality rates

The probability of a retinal detachment after capsulotomy is 1.6–1.9%. This represents a two-fold increase of retinal detachment over the rate for all patients undergoing cataract surgery, regardless if a posterior capsulotomy was done or not. Macular edema occurs in up to 2.5% of patients who undergo a laser capsulotomy and is more likely to occur when the capsulotomy is performed soon after cataract extraction, or in younger individuals. Rarely does glaucoma develop after laser capsulotomy, although as many as two-thirds of patients will experience transient increased intraocular pressure.


The alternative to laser capsulotomy is surgical capsulotomy of the PCO and the adjacent anterior vitreous. There is an increased risk of retinal detachment when this invasive intraocular surgery is employed. The other alternative is to leave the PCO in place. This leaves the patient with permanent decreased visual acuity.



Albert, Daniel M., et al. Principles and Practice of Ophthalmology, 2nd Edition. Philadelphia, PA: W. B. Saunders Co., 2000.

Gills, James P. Cataract Surgery: The State of the Art. Thorofare, NJ: Slack Inc., 1998.

Jaffe, Norman. Atlas of Ophthalmic Surgery. London: Mosby-Wolfe, 1996.

Jaffe, Norman, et al. Cataract Surgery and Its Complications. St Louis, MO: Mosby, 1997.

Steinert, Roger F. Cataract Surgery: Technique, Complications, & Management. Philadelphia, PA: W. B. Saunders, 1995.


Baratz, K. H., et al. "Probability of Nd:YAG Laser Capsulotomy After Cataract Surgery in Olmsted County, Minnesota." American Journal of Ophthalmology 131 (February 2001): 161–166.

Charles, Steve. "Vitreoretinal Complications of YAG Laser Capsulotomy." Ophthalmology Clinics of North America 14 (December 2001): 705–9.

Chua, C. N, et al. "Refractive Changes following Nd:YAG Capsulotomy." Eye 15 (June 2001): 303–5.

Hayashi, Ken. "Posterior Capsule Opacification After Surgery In Patients With Diabetes Mellitus." American Journal of Ophthalmology 134 (July 2002): 10–16.

Hu, Chao-Yu., et al. "Change in the Area of Laser Posterior Capsulotomy: 3 Month Follow-Up." Journal of Cataract and Refractive Surgery 27 (April 2001): 537–42.

Kurosaka, Daijiro, et al. "Elschnig Pearl Formation Along the Neodymium:YAG Laser Posterior Capsulotomy Margin." Journal of Cataract and Refractive Surgery 28 (October 2002): 1809–1813.

O'Keefe, Michael, et al. "Visual Outcomes and Complications of Posterior Chamber Intraocular Lens Implantation in the First Year of Life." Journal of Cataract and Refractive Surgery 27 (December 2001): 2006–11.

Sundelin, Karin, and Johan Sjostrand. "Posterior Capsule Opacification 5 Years After Extracapsular Cataract Extraction." Journal of Cataract and Refractive Surgery 25 (February 1999): 246–50.

Trinavarant, A., et al. "Neodymium: YAG laser Damage Threshold of Foldable Intraocular Lenses." Journal of Cataract and Refractive Surgery 27 (May 2001): 775–880.

Martha Reilly, OD


The procedure is usually performed in the office of an ophthalmologist or an osteopathic physician. The training of an ophthalmologist includes a year of internship and at least three years of residency training in the treatment of eye diseases and in eye surgery after graduation from medical school. In states where doctors of optometry are permitted by law to use lasers, and if trained in laser surgery , an optometrist may do the laser capsulotomy. A co-managing optometrist may perform some of the preoperative testing and postoperative follow-up.


User Contributions:

Wg Cdr Krishnamurthy
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Apr 27, 2006 @ 4:04 am
Dear Doctor: I nned help in terms of information/guidance. I have undergone phasoemulsification for removal of catract about 8 months ago.I underwent a Yag capsulotomy about 3 months ago as ther was a glare ,particularly at Night whilst driving. Now the glare has increased and I am not driving at night as I find the incomming lights far too glaring . Please let me know if there is a way of reducing glare . I have ordered Ziess lens with anti glare coating. There is only a very very marginal change in the glare. It is still almost the glare. Can I undergo any further operation to0 eliminate glare. Thanks and regards Cdr Krish
rich k
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May 13, 2006 @ 2:14 pm
very interesting. I had YAG several days ago and
have been worried about the numerous floaters.
I guess they are normal for a few weeks to come.
Mary Lou F
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May 14, 2008 @ 4:16 pm
I had cataract surgery 2 1/2 years ago. Crystalens were placed in both eyes. During the past two years the yag laser was used on both eyes and created the opening. The formation of Elschnig's pearls have since formed, creating a haze. I was to the surgeon today and he consulted with four other surgeons as to the formation of Elschnig's pearls. They did not stop at the edge of the lens on either eye and are starting to cover the implants. The Crystalens did not give me clear intermediate or close vision so the doctor was going to implant and additional lens in front of the crystalens (but at this time is not because of the formation of Elschnig's pearls). He is going to gather more information on removing the lens and replacing it but needs to talk with someone has has done this more than once. Can you add any information to this? Thanks!
Joseph G. Alam
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Oct 7, 2009 @ 7:19 pm
Dear Doctor: I reached my 90th birthday a couple of weeks ago. All my life I had astigmatic myopia. In my 80s my presription as about 20/300+ but I always could see fine with the prescribed glasses. My optometrist kept my vision sharp but advised me there were incipient cataracts and sent me to a "laser factory." All went well and for several months I had 20/20 vision, but the ocular muscles were unchanged anf glasses were resumed, especiall for prism that was required because of a lazt (?) eye.
I now am relocated and the current ophthalmologist says I should get a capsulotomy. I have no vision problems but too much reading quickly fatigues the eyes and causes watering. The muscular movement is not as effective and 4-pt type causes discomfort; I am a crossword addict. Is it adviseable to forego any operation until discernible impairment of vision occurs? Thank you!
K. Clark
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Nov 3, 2009 @ 5:17 pm
I have never seen without cloudy haze and blurring since the original cataract surgery. My doctor prescribed eye moisteners and anti-inflammatories for an extended period but it did not help. Then came the YAG. That helped almost not at all, but a little. Is it advisable for the YAG to be done a second time?
Suzanne S.
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May 27, 2010 @ 10:10 am
I had cataract surgery last year and kept my 20/20 vision. I had YAG on my one eye on Monday of this week (it's Thursday now) and the next day (and still today) have trouble seeing the large "E" at the top of the eye chart. The HMO doctor put me on steriod eye drops and told me to come back in two weeks. My vision is so much worse than before the YAG. This is very scary.
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Jul 6, 2010 @ 6:18 pm
I underwent the Yag capsulotomy in May and I regret having it done--I had much better vision before the procedure. When seen the day after the procedure, my vision was very poor and I had so much irritation I was put on steroid drops for 2 weeks. It has been almost two months now and I get black floaters and my vision is still very poor. The M.D. doing the procedure in the HMO told me this is the first time she had this happen to anyone. She said it was due to a medication, but she had my list of medications prior to doing this procedure and okayed all the medications--plus she had the list of my medications on the HMO computer system and that makes it available to all the doctors in the HMO. I specifically asked her if there were any problems with my meds before the procedure and she said no.

This has left me very worried as I have a second cataract implant and was told that will get clouded and need a YAG capsulotomy also. But I don't know that it is worth it.
Louise C. Johnson
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Aug 24, 2010 @ 6:18 pm
I read the comments on this procedure and think that maybe it is not advisable and a waste of time and money to have it done. Plus, the pain the patient goes through. It appears to me that this procedure needs to be improved in order to cut down on complications. I am leery now to have this procedure done if I need it after my cataract surgery. Is there a better methods. Or--- is the surgical one better than the laser one?
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Nov 5, 2010 @ 11:11 am
I had laser capsulotomy done 4 days ago. I have pain in my eye similar to a bad headache and I am extremely light sensitive. Is this normal? I also have floater but I was told to expect those. I wasn't told about any pain or light sensitivity.
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Nov 16, 2010 @ 9:21 pm
Can you tell me, if this YAG Laser surgery can work on a patient who has macular degeneration? She is an 80 year old woman, diabetic, and has had cataract surgery within the last 5 years.
Thank you.
Barbara Cattunar
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Dec 15, 2010 @ 3:03 am
Thanks for all the information. Do you endorse the Health Sciences Institute, which is featured on your site, claim for effective treatment via eye drops for cataracts? I'm not too sure about that
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Dec 27, 2010 @ 9:21 pm
Yag lazer capulotomy has been suggested to clear my vision after cateract surgery six months ago.

1. For how many years has this operation been performed?
2. Are there long term (eg 10 year or longer) complications for this operation?
3. Is the lens capsule compromised or weakened over time with the hole?
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Jan 11, 2011 @ 3:15 pm
I had cataract surgery followed last summer by posterior capsulotomy laser sergery in both eyes to correct the glare I expereinced following the cataract surgery. The glare seems worse following the laser surgery. My doctor did not offer any remedies for this. What else can I do about the glare, especially at night?
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Feb 14, 2011 @ 9:09 am
After the YAG surgery, I had a scratched cornea. Very painful!!! How could this have happened?
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Jun 13, 2011 @ 4:04 am
I am scheduled for Nd YAG posterior capsulotomy laser sergery in both eyes the day after tomorrow. I had undergone Cataract surgery in both eyes 2 years ago. I am 63 years old. Though the doctor tells me it is very safe, I am confused after reading the above comments. Is it really safe? Can I get a reply urgently/
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Jul 26, 2011 @ 5:17 pm
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Jan 6, 2012 @ 9:09 am
I had cataract surgery 2years ago and now have posterior capsular opacity in both eyes.I also take medication for epilesy. Further, I have a Medtronic interstim implant which means Ican't have diathermy anywhere on my body.Is a YAG laser safe? Are lasers a form of diathermy since they have a magnetic field? My opthalmic surgeon is of the view it is safe but can't guarantee it and so has discharged me until I find out more details for myself.He has suggested I try the Internet or the manufacturer.The manufacturer referred me back to my Consultant physician who never gets back to me;The junior surgeon I spoke to did not even know that a laser had any connection with electromagnetism.
Getting an appointment via re-referral from GP will take many months. Will this mean my condition will worsen making laser treatment less likely to be successful?Who do I turn to for appropriate advice?
Alain FCY
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Feb 22, 2012 @ 11:23 pm
useful article regarding the post cataract surgery complications. i also got secondary cataract and Elschnig's pearls after more than one year after a PCO...
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Jul 18, 2012 @ 1:13 pm
I am 51 years old and had retinal detachments and cataract surgery in both eyes.
My question is about the right eye. In 2008 I had a cataract surgery in that eye. Two years later (December 2010) I had a retinal detachment in that same right eye for which I had a buckle and a vitrectomy done. Two years after that ( July 2012) another eye doctor told me I have a clouding of my lens and he proceeded to do a yag laser. However one week now after the yag laser procedure, my vision is still blurry for distance yet my vision for reading improved. I would like to know why my yag laser did not work and why a change in vision? doctor said I can correct it with lasik but did not reccomend that I do another lens implant? why did yag laser not work, was something not done right? Thanks
Joyce Ellis
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Aug 22, 2012 @ 11:11 am
I am scheduled tomorrow for the YAG capsulotolmy (right eye) and all of the above complaints are really making me apprehensive. None of the comments mention good results. I am 68 years old and had the ChrystaLens placed in this eye 11.11.2010. At my check up visit after the IOL was placed I mentioned cloudy and was told it was condensation and taht the eye hurt. He recommended warm compresses.
On 8/21/12 I went to a retina specialist because I woke up with spider shaped floaters and noticed C shaped flashes of light in the left eye. I have AMD but the left eye is worse than the right eye. I cannot read when I cover either one of my eyes. The letters are doubled. All of this makes me wish I had not spent almost $10,000 and just left the first cataracts in my eyes.
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Jan 1, 2013 @ 11:11 am
My husband has cloudiness in 1 eye & has been told he needs the YAG capsulotomy. He wants to wait 3 months. Is there a risk in waiting & does it get worse over time?
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May 6, 2013 @ 7:19 pm
It is now 8:00PM . My husband had capsulotomy surgery at noon today. Right now he is experiencing pain and scratchiness in the eye, and is really suffering. We have called the surgeon's office, and we were told to keep up with the Prednisone treatment, and also use Genteel artificial tear drops when needed, and all will be better tomorrow. Thus far, nothing has worked. The pain/ scratchiness is still severe. Could this be a tear in the cornea, or the beginning of retinal detchment?

Thank you.

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Jul 1, 2013 @ 1:01 am
Had a lens implant in rt eye in 2004 50 yrs old then. had yag a few weeks ago and cannot read print without much stronger reading glasses. Blurry vision has been consistent since yag and is really impaired my vision. Floaters not really a problem although one returns occasionally.Battled skin cancer recently and problems with root canals that left me with permanent nerve damage. All this stuff was done to prepare for a hip replacement in about 7 weeks. This is small potatoes compared to many battling major issues. Did anyone's blurry vision ever clear up or do we live with the problem. My doctor thinks my vision problems are because of the RK surgery 23 yrs ago. Fluctuation mostly. Anyone experiencing any of these eye problems? Thank God I can still play the harmonica.
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Sep 8, 2013 @ 12:00 am
My grandmom is 75 years old and had got cataract surgery done around 15 years back and now shes facing a problem of PCO and is recommended Yag laser capsulotomy in both the eyes which is been scheduled tomorrow. Till now i was very confident with getting this secondary cataract surgery done causing no side effects or having minimal risks as the doctors here explain that it is very safe and very common but after reading the above comments i am literally confused whether its safe or not!! Kindly suggest whether it is actually safe or not?? or i should consult more doctors before the surgery.
Kindly give the best possible solution, Your reply is awaited.
Thank You
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Oct 21, 2013 @ 1:01 am
I had cataract surgery in both eyes and then the yag procedure in both eyes, left is worse , having much blurring and glare which is causing many problems with my current job..after the yag procedure, I was told to leave the outpatient surgery center and was told I could go to work, i advised that my vision was blurry after the procedure.. Driving at night is bad, I feel like the cataracts are still there. My doctors office is not returning my calls at this point, I need to go for another opinion as to what is wrong with my vision.. I wish I would have been advised how risky the YAG was, I have been reading alot on the internet about this and the symtoms I have been complaining about are all in the articles I have read. Please reply..Thanks
Beverley Mas
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Jan 18, 2014 @ 10:22 pm
I am a 77-year-old woman who was very happy with my cataract surgery in both eyes two years ago. Having developed opacification in both, I am now scheduled in a week for yag posterior capsuotomy in both. The foregoing list of comments, I who have always considered myself brave and a risk-taker am petrified! Please, someone send me something hopeful! I am a published writer and currently still working at a college as an Academic Counselor -- NEED MY EYESIGHT! Thanks to anyone who will take the time to ease my mind!
Richard Orselli
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Mar 31, 2014 @ 11:11 am
I am 80 y/o and had a IOL implanted in the Left eye four moths ago. Yesterday it was recommended that I have a YAG capsulotomy to correct the developing PCO of the left eye. Has anyone had positive results without discomfort, glare, persistent floaters or other side effects? Thank you.
Manisha sharma
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Aug 5, 2014 @ 6:06 am
I hav recently done cataract surgery 3 months back . I still see a blurry vision . What is the solution. After wear ing glasses also I don't see properly
Cathy Weaver
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Sep 3, 2014 @ 12:00 am
I was wondering about the cost of this procedure. Anyone have an idea?
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Sep 20, 2014 @ 3:03 am
I am 58.Had IOL implanted in both eyes 3 yrs.ago.Today,during my routine eye check up,the eye surgeon advised me to go for YAG as i had a slight blurred vision in my rt.eye.Having read all above, I feel scared to go for YAG, lest it may only add to my existing mild problem.Will it get worst if i wait for some more time? Will my vision deteriorate further and create more complications in future if I postpone YAG now. Will the treatment become more difficult or risky later? Or is it safe enough to postpone it? Frankly, I have no serious problem with my vision right now.Also I am a chronic asthma patient and daily use the bronchodilator and beclomethasone inhalers since ages.Are they in any way responsible for these eye problems? Your advice will be highly appreciated. Thanks!-moiz.
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Oct 6, 2014 @ 2:14 pm
I had it done to my right eye 3 days ago. So far so good. I went from very bad farsightedness from birth and had closed angle glaucoma before lens replacement. I had alot of glare after lens replaced but was more than willing to live with that because lens replacement helped lower my high pressure by creating room for the fluid to drain and my vision was drastically improved with no thick glasses or contacts for the first time in my life. I believe the cloudy effect was on mine prior to lens replacement or I developed the collagen right away because the glare was always there after surgery which was done a couple of months ago.
My doctor suggested this to help with the glare and said it would improve my vision. I did it and now my vision is even better and the glare is gone. I am going to have the left eye done next week. I thank God for it all and for helping get me to a great doctor. The closed angle glaucoma almost cost me my vision. Only through faith in the Lord, I had no damage done to my optic nerve or vision loss of any kind even though I was initially misdiagnosed and went a week with pressure over 60 before I got to this doctor. I hung on to Gods word through that horrific week and now thank Him for His miracle and the silver lining He gave me. Just have faith in His word and everything will be alright
Nancy WolpertNancywolpert
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Oct 8, 2014 @ 9:09 am
Want to schedule Yag. After reading above, am uncertain. Only one person is happy over results. My doctor said I would be in office about 20 minutes and would be able to take bus home on my own. Please advise today! Thank you
george b
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Nov 19, 2014 @ 9:21 pm
once this procedure is done, it will preclude the easy replacement of any implants that may not have been correctly prescribed
Since the holes it creates in the lens capsule will weaken it sutures and complicated surgery will probably be needed
If your implants have left you without optimal vision, avoid it
Tim Kinross
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Feb 27, 2015 @ 3:03 am
I have been a type 2 diabetic for 30 years and am now aged 75.
I had a cataract operation early January 2015 where the lens was replaced . Following this there developed a cloudiness and blurring worse than before. At the end of February I had laser treatment to remove the opacification film forming at the back of the new lens. I was immediately able to see much more clearly and now after 24 hours am fully confident that everything will be fine.
This seems to correspond to the experience of my friends and I write to counterbalance the small number proportionately who suffer an adverse reaction and to reassure anyone about to have similar treatment .
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Apr 7, 2015 @ 5:17 pm
I am 74 years old and in good health. I have had 360 lattice degeneration in both eyes since 1990. As I got older cataracts began to form. I had cataract surgery in my right eye in June 2010 and in my left eye in Sept 2010. I suffered a retinal detachment in my left eye in Oct 2010 and after 3 operations to repair the retina I am legally blind in the left eye although I can see my way in and out of a room. Secondary cataracts have formed in my left eye and my vision is 20/40 or 20/50 in that eye. I cannot read a newspaper without the use1d of a magnifying glass. My doctor wants to do a YAG procedure but I am afraid that a second retinal detachment will leave me blind. I wish I knew how much worse my vision would get. Is the YAG worth the risk? My retina in my right eye has been heavily lasered.
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Apr 8, 2015 @ 11:11 am
I just had my second YAG laser capsulotomy and want to record a positive experience, in contrast to the many negative comments. I had cataract surgery on both eyes three years ago and was very pleased with the results, with no pain or other aftereffects. Within the last year my vision began to cloud and I was advised to have the laser capsulotomy. I have now had it done on both eyes, and the results have been excellent. I have no pain or other aftereffects, and am now able to see clearly through both eyes (whereas prior to the capsulotomy I could not read at all through my left eye). The capsulotomy was painless, quick and immediately effective.
pat Brooks
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May 26, 2015 @ 8:20 pm
I have glaucoma and have to use drops every night for the rest of my life. My cousin was told she has glaucoma and they gave her laser capsulotomy treatment. what is the difference.
please. I thought you had to use drops.
Richard Vondrak
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Jul 9, 2015 @ 3:15 pm
In 2013 I had cataract surgery on my right eye that unfortunately resulted in TASS, which subsided in a few weeks. A few months later I had cataract surgery on my right eye which was routine with no complications.
Now the vision in my right eye is getting fuzzy, and my opthalmologist recommends a laser posterior capsulotomy to improve my vision. My question is: Is there greater risk of a complication due to the laser capsulotomy because I had an earlier incidence of TASS in that eye? If so, is there an alternative procedure that might be preferable?
I appreciate any guidance or recommendation to useful reference material in the open literature. Many thanks!
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Jul 9, 2015 @ 8:20 pm
Cataract surgery on both eyes in 2003 and then YAG performed in both eyes in 2011 to clear cloudiness of the implants. My left is just fine, but the right eye still has floaters 4 years and 3 months later. A larger black one right in the center of the eye. I despair that this will ever disappear. The doctor said it will in time... but it's now over 4 years and nothing has changed. It's like I'm looking through a dirty window where the dirt keeps moving.
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Jul 12, 2015 @ 12:00 am
I am 26 years old. I was born wih cataracts. 4 years ago, I had cataract surgery to remove them and replace with new lenses. After a while, my vision began to blur some. I had scarring in both eyes, more in my right eye this coming Wednesday, but I will likely cancel the appointment. I asked what the side effects were prior to my appointment -- none of these besides floaters (and other major side effects) were mentioned. I am not a happy camper.

It was recommended that I have YAG laser in both eyes. This past Wednesday, I had YAG in my left eye. I hated it. Mostly, I was terrified when the MD had to place the "contact" on my eye, then the inability to see due to the brightness of the laser. After that, I noticed my eye felt dry and scratchy. I also noticed the floaters right away. Today, I noticed a sensitivity to light, minor burning sensation, and headache just above my left eye. I am supposed to have YAG nmy
Betty Sparks
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Jul 20, 2015 @ 3:15 pm
Where do I find comments or answers to all of these comments?

Scheduled for yag a and now plan to cancel until I get more confirmation of information. Is there more than one kind of yag. Or yaz?
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Dec 18, 2015 @ 11:11 am
I had lens replacement surgery 3 years ago as I was fed up wearing glasses. Suddenly my right eye became blurry. Called optical express who told me I need yag laser to get it correct again. They want 395 pounds per eye to do this. They have reassured me that it will clear up and everything will be as before. Is this true as I am getting scared with what I have been reading. I am 48 years old and I am worse now than I was before lens replacement surgery . Optical express were very naughty by not telling me this could happen so long after procedure. They just mentioned it could happen within the first year which then they would of sorted free of charge. I am very upset
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Jan 25, 2016 @ 7:19 pm
I am 28. I had cataract surgery when I was 12 years old. I had the yag treatment in 2013 three years ago now, and I don't think I would recommend this procedure unless your vision after your initial surgery becomes really bad. I now get bad headaches due to light sensitivity. Also I don't think it improved my vision enough for me to be satisfied with it. Before the yag I was 20/35 and 20/30 and now I'm 20/25 and 20/30. So not significant to me I would rather have worse vision and correct it with glasses then these horrible headaches. Oh and the glare of bright red tail lights or led light and florecent lighting all trigger headaches so ie. Driving to watching any screen for too long hurts. I have to have my lenses tinted permanently and wear sunglasses outside all the time so I have to buy 2 pairs of glasses everytime I get them so I spend about 700 dollars everyone I buy glasses. It suck.
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Jun 22, 2016 @ 9:21 pm
OK all these comments have me quite scared, I have total confidence in my Dr. but I don't think is competence is in question here, my concern is it being worse after the YAG laser treatment. Can I have any positive comments here or this a place for just negatives???
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Jul 4, 2016 @ 10:10 am
I honestly would not recommend multifocus lens replacement or YAG at all. It has been 4 months and I still can't see very well. I didn't think I would say this, but I want my glasses back so I can see normally again. My dr is very qualified, but I am NOT happy.
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Jul 10, 2016 @ 5:17 pm
I had cads removed in 2010 and now have scarring in both my eye's left worse and was also told to get this Yag procedure but with all of these complications I have canceled mine as it does not seem as if any doctor has accomplished this procedure as long as it doesn't get any worse I am going to deal with this
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Aug 18, 2016 @ 5:17 pm
Where would I find the answers to the questions above from user contributors ? Thank you.
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Sep 27, 2016 @ 2:14 pm
I reported to you in April 2015 that I was worried about having the YAG procedure in my right eye. I finally agreed to it in June 2015 and I am happy to report that my visiom in my right eye is 20/30. I can't say that it will work for everyone but so far I'm OK. An important factor is the skill of the doctor who does the procedure.
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Dec 7, 2016 @ 9:21 pm
I am 55 years old and had cataract surgery in both eyes (left in Aug & right in Sept 2016). I complained of my left eye constantly tearing & fog like symptoms or rather as though I was looking out a dirty window. The surgeon suggested Yag and was told it would clear up the lens. Yag was done in Nov. I did not notice a difference as it was a bright day. However that evening I noticed the starbursts from street & stop lights car head & brake lights..anything where the light source is a bulb & not fluorescent type. Prior to Yag I did not see starbursts. My vision was & still is 20/20. My surgeon says this is the first he has ever heard of this issue and wanted me to try drops for glaucoma to see if it helps. Then he said we could "try" a 2nd Yag treatment. I asked to be referred to other specialist as I don't want to experiment with my eyes. I am looking for the treatment to correct it. I have searched the Internet looking for answers on how to correct this as it affects my night vision particularly when driving. I have told the surgeon there are others who have this as i have found them on the imternet posting this same problem, he was surprised & said I taught him something new. Regardless,I just need answers & assurances that this is fixable. Can you tell me if a 2nd Yag will correct it? Will making the holes bigger correct the problem & get rid of the starbursts? Or does that create more starbursts?What can correct it? Should the lenses be replaced? I can not go the rest of my life with my personal laser show each night. Please help me by providing your sound advice & guidance. Thank you. I hope you respond.
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Jan 30, 2017 @ 4:16 pm
I am 54 and had cataract surgery several years ago. I recently developed cloudy vision and night driving problems. Today I had this surgery and it was one of the easiest things I have done. The dr. put several drops in my eyes and then had me look through a machine so he could use the laser. It was similar to the machines that they use for eye tests. I am amazed at how clearly I can see now. It has only been 6 hours since the treatment. I seriously can't call it a surgery as it was more like an eye exam. There is no pain at all. My eye did water afterwards and I have to put drops in 4 times a day. Please don't be afraid of this, it is very simple and worth a try for clear vision!!
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Feb 13, 2017 @ 12:12 pm
I am 69 yrs old female and other than my eye problem very fit. After a lot of research I had lense replacement with multifocals to correct my long sightedness this was done in 2015 by a leading prof at Moorfields London privately.
Initially I was very pleased with the results as I have now got 20/20 vision, but after time I noticed I was having difficulty driving day or night and started to loose all confidence then my eyes became very painful and I stopped going out in the sun, at first I was diagnosed by my local Ophthalmologist with a mild case of dry eye, Sorry i don't think so!!
I Then went back to the Prof and he suggested I needs this YAG laser and it was quite usual after cataract surgery. after the procedure which was surprising simple i was assured that after a few days things would settle down and not to worry and it would help with the glare.
Sorry but I'm now finding the glare from every light is excruciating and I can't tolerate the car headlights even as a passenger , what can I do?? is there any glasses to wear that will overcome this problem??
So anyone thinking of having this very expensive surgery in the future think again you may cure one problem but do they out weight the other problems, don't mess with your eyes!! you only have two...!!
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Feb 16, 2017 @ 2:14 pm
Has anybody ever had the Posterior Capsulotomy done to clear up vision after cataract surgery? I had cataract surgery in right eye and got the monofocal lens. I am now seeing 20/25 in right eye due to the small amount of blurriness. My eye doc says she would do it. I see 20/20 in my left eye with glasses. Anybody ever had a bad/good experience with this? I am trying to decide should I go ahead and do it or wait it out. I am worried it could do more harm than good. I had disappointing results with cataract surgery and am scared to do anything else to my eye.
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Feb 16, 2017 @ 6:18 pm
I had a macular hole repair surgery and cataract surgery at the same time in March, 2015. The macular hole repair was done by a well known retinal surgeon, and the cataract surgery was performed by a well known othalmologist. All went well after these procedures. After several visits to the othalmologist 's office, he said he saw a capsule in my eye and suggested I get a capsulotomy to bring more light to my eye; he stated it should improve reading small prints. I was not complaining about my eyesight; I was glad that I could see out of my left eye and could read medium sized prints. I did not want to get a capsulotomy so soon after the cataract and mascular hole surgeries. The doctor said that the procedure was simple, and he would do it in his office; he did not mention anything about the side effects of the capsulotomy. I finally decided to have the capsulotomy so that the doctor would stop suggesting that I have the surgery. The procedure was not what I expected. My eye were numbed and dilated before the procedure. I sat in a chair similar to one for an eye exam, and the doctor used the YAG Laser to apply a burst of pressure to my eye 4 times. The doctor waited 15 minutes and applied another burst of pressure to my eye 4 more times. After the procedure, I was told I could leave the office. I asked him if he needed to check the pressure in my eye, and he said no. The result of the capsulotomy is that my eye sight did not improve; it actually got worst for reading small and medium prints. I could see items a bit clearer. The worst part of this procedure is that it left a ringing noise in my ears. My ears have had a ringing sound since August 2015. I was told by the ENT doctor that there is no relief for this noise. I wished I had never consented to having a capsulotomy; it was not a necessary compared to the risk of eye and ear damage involved. I was told by 2 other eye doctors that I now have scar tissue in this eye and damage to the optic nerve. Guess What? I now have to use eye drops for Glaucoma. Thanks to the capsulotomy and the doctor who performed this procedure. I feel that the doctor experimented with my eye.
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Mar 18, 2017 @ 5:05 am
I had Yag capsulotomy 2 weeks ago, my vision is now brilliant, I have floaters but hey, I'm 75 years old I can deal with that as long as I can see to get about, I don't think there is any thing to worry about with this procedure, I have had 5 operations on that particular eye, and can honestly say this has been the best, but the one I worried needlessly about. For any one contemplating this procedure have faith and go for it. Regards to you all reading this Gina
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Mar 29, 2017 @ 3:15 pm
I had the procedures completed yesterday. No pain during or after the procedure. The procedure took approximately 2 minutes, if that long. Today, my vision is sharp. I am not experiencing any floaters.
Sandra Tindale
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Jun 6, 2017 @ 9:21 pm
Can one have YAG laser surgery without having had prior cataract surgery.?
Linda Torrence
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Jun 24, 2017 @ 11:11 am
I had cataract surgery in both eyes about 2 1/2 years ago. I had 20/30 vision after the surgery, but just like my husband it only lasted about 3 months. Then I had to go back to my original contacts that I had worn for over 25 yrs. or else glasses. My husband had the same issue, he chose glasses. I'm now 73 and all of a sudden my vision in my left eye started getting blurry. I was very surprised as no one told me that this could happen. My vision was 400 in that left eye and contacts no longer worked for me to read. I had the surgery about 2 months ago. I did have a headache and scratchy eyes for a few days. I went back to have vision checked 2 weeks later and it went to 40 in that eye, so was a great improvement, but now my vision is not as good anymore and my eye that was done with the Yag bother's me a lot, to the point of hurting at times and with the contacts in, I can't seem to get my vision right. I also have mono vision which means, left eye for close up and right eye for distance. Even my right eye bother's me sometimes. Just hope that it's not getting a film on it like the left one did. I am having a time seeing right and even put glasses on top of my contacts. I am going to get in touch with my eye doctor and ask him why 2 months later my eye hurts and still feels scratchy and the vision isn't as good as I thought it would be. I don't think it's perfected yet and I don't want it done again. At least I don't have floater's, which I have had before years ago, that would drive me crazy. If anyone is thinking of having this done, try and find the best doctor you can who specializes in this procedure.
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Feb 22, 2018 @ 11:11 am
I had cataract surgery two years ago, I had cobwebs and floaters , went to doctors and had posterior capsulotomy laser done, still have cobwebs and black floaters, how long does it usually takes to disappear ???
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Oct 29, 2018 @ 9:21 pm
I had the laser posterior capsulotomy 6 days ago. I experienced massive improvement of my vision and some floaters that are gradually disappearing. I highly recommend the simple procedure if you need it.
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Mar 16, 2019 @ 5:17 pm
I had the Yag laser capsulotomy 10 days ago on my right eye. The ophthalmologist assured me I would be very pleased with the results, and I would even be able to drive myself home after the treatment. Both of those promises have proven true. However, later that day I did experience a lot of irritable pain. I was familiar with this particular eye pain from a previous, unrelated surgery on my left eye, and was not unduly worried. Before I went to bed that night the pain was all gone (!). But, oh my, the black floaters...I thought I was seeing flies and spiders flying around. They are slowly disappearing, while my vision has sharpened considerably. I am so lucky to have a great eye doctor. Thank you Dr. Ottman.
Tim McKnight
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Feb 1, 2020 @ 9:21 pm
7 years ago I had a complete retinal detachment in my left eye, it was repaired at The John Moran Eye Center by Dr Bernstein, shortly afterwards I had a catarac removed and Later YAG surgery and the surgery was painful, I told the doctor it was causing me great pain but he ignored me and told me to hold still, that was in 2013, ever since I have had excruciating eye pain that radiated up the left side of my head, I had some sight but slowly over about 4-6 months lost all vision, in 2016 the pain began to migrate over the top of my head to include the right side, I have been ignored and put through so much, the Moran eye Center has told me not to come back there is nothing they can do for me, I now have lost sight in my right eye due to retinal atrophy, the doctor said it could be due to the trauma from the left eye and over use of my right eye. I am still in so much pain everyday and night, I wish I had never had the surgery. I am a healthy 70 year old, no diabetes ect, anyone advise please

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