What to Expect: Posterior Capsulotomy (YAG laser capsulotomy)

If your doctor has recommended a posterior capsulotomy, read on to know what to expect at the visit.

 

1. What is a posterior capsulotomy?

  • A quick and painless laser procedure that takes approximately 1-2 minutes for most patients.
  • Performed some time (weeks to years) after cataract surgery when your natural capsule holding the intraocular lens becomes cloudy or wrinkled, affecting your vision.
  • Posterior capsulotomy is the making of an opening in the cloudy/wrinkled capsule with a laser.

 

2. What will happen at a posterior capsulotomy visit?

  • You will receive numbing eye drops, and then dilating eye drops in the eye(s) receiving the treatment.
  • You will wait a few minutes while your pupil(s) dilate.
  • Your doctor will bring you back to the laser room.
  • Your doctor may use a small lens to focus a small laser on the cloudy capsule and make a small opening. You will hear little beeping sounds, and you will feel no pain.

 

 

3. What to expect after the posterior capsulotomy?

  • Your vision will be dark for a few minutes immediately after the laser from the bright lights. This usually clears up within a few minutes.
  • Since you will be dilated in one or both eyes, bring a driver if you usually do not feel comfortable driving after dilation.
  • If your doctor prescribes you any eye drops to use after the laser, use them as instructed.
  • You will receive instructions to make a follow-up appointment to make sure you have healed as expected.
  • You may notice a few new floaters after the procedure – they may be fragments of the capsule that was opened with the laser.

 

4. What are the risks of a posterior capsulotomy?

  • As with any eye procedures, there are small risks associated with a posterior capsulotomy, such as the following:
    1. You may have a retinal tear or detachment. If you notice a lot of new floaters, flashes of light or blurry vision like a curtain moving across your field of vision, call our office immediately for a dilated eye exam.
    2. Your eye pressure may increase. You should not have eye pain, eye redness or headaches after the procedure. If you do, call our office the same day.
    3. The intraocular lens may shift in position. If you notice a change in your vision, call our office for a re-evaluation.
    4. You may have swelling in your retina, which would not hurt, but may distort your vision, and you may need medical treatment.

 

REMEMBER:
If you have a question or a concern about your vision or your eyes, call us at 520-327-3487.

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