Patient information

YAG laser capsulotomy

Laser treatment after cataract surgery
My YAG Laser Capsulotomy

After cataract surgery, the capsule that holds the artificial lens can gradually become cloudy. This is called posterior capsule opacification (PCO) — sometimes called a 'secondary cataract.' Dr. Benjamin will clear it in just a few minutes using a YAG laser — painlessly, without incisions, right in the office.

Cause

After surgery, capsule cells can grow and cloud over, causing vision to become blurry or hazy again.

Solution

The YAG laser creates a precise opening in the cloudy capsule, allowing light to pass freely to the retina.

Result

Vision improvement occurs the same day. The capsule cannot cloud again — the procedure is performed only once.

What is posterior capsule opacification

During cataract surgery, the surgeon intentionally preserves the posterior capsule — a thin transparent membrane — to serve as a platform for the artificial lens. Over time, cells on its surface can proliferate and cause clouding. PCO occurs in 20–40% of patients within 2–5 years after cataract surgery. This is entirely normal — not a complication, and not a return of the cataract.

Symptoms of capsule clouding
  • Haze or fog in the visual field
  • Glare and halos around light sources
  • Reduced contrast and color brightness
  • Blurred vision when reading or driving
  • Feeling that vision has worsened after a good surgical result
How the procedure works
Preparation
Dilating and numbing drops are applied. No special preparation — you may eat and drink normally.
Procedure
You sit at the slit lamp. A special contact lens‑mirror is placed on the eye. The YAG laser creates an opening in the capsule in 2–5 minutes.
Sensations
You will hear gentle clicks and see flashes of light. There is no pain. Most patients describe the procedure as completely painless.
After
Vision improves within a few hours. Temporary floaters or spots may appear — these resolve within a few days.
Key stats
2–5
minutes procedure
performed once
0
incisions or sutures
1 day
vision recovery
Post-procedure drops

Anti‑inflammatory drops – 3–5 days. If IOP rises – additional drops as prescribed. Your regular drops – continue on the usual schedule.

After the procedure – what to expect and avoid

Vision may be temporarily blurry from dilating drops. Do not drive – bring a companion. Normal activities are permitted.

Floaters are common in the first few days – capsule fragments that gradually resorb. If flashes increase suddenly, contact us right away.

Contact us if: sudden vision loss, increasing pain, redness, or a significant increase in floaters or flashes – symptoms that require immediate evaluation.