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Patient information

YAG Capsulotomy

A quick office laser that clears the cloudy capsule behind a lens implant after cataract surgery.

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A cloudy capsule behind the lens implant, and the clear opening the laser makes in its center.

Why it is done

Months or years after cataract surgery, the thin capsule behind the lens implant can turn hazy. This is common and is not a complication. The laser makes a clear opening in its center, which usually brings vision back to where it was after the surgery. It is normally needed only once in each eye.

The visit

  • Drops dilate the pupil. Some doctors add a drop to prevent a rise in eye pressure.
  • You sit at the laser with your chin on a rest. You see flashes and hear soft clicks. It does not hurt and takes a minute or two.
  • Usually nothing touches the eye.
  • Bring a driver: the dilating drops blur vision for several hours.

Afterward

  • Vision is blurry for a few hours, then clears. Most people notice the improvement by the next day.
  • New floaters are expected. They are small pieces of the capsule and fade over a few weeks.
  • You may be given an anti-inflammatory drop for a few days, or none.
  • Keep using any glaucoma drops as usual.
  • There are no activity restrictions.

Call the same day if

  • Flashes of light, or a sudden shower of new floaters
  • A curtain or shadow in your side vision
  • Eye pain
  • Vision that gets worse instead of better