A comprehensive guide to YAG laser capsulotomy

Written in association with: Dr Emma Jones
Published: | Updated: 26/09/2023
Edited by: Kate Forristal

In her latest online article, Dr Emma Jones gives us her expert insight into YAG laser capsulotomy. She explains the procedure, the benefits, patient selection and precautions and post procedure care.

Understanding YAG laser capsulotomy

A YAG laser capsulotomy is a non-invasive outpatient procedure performed to address posterior capsular opacification (PCO) - a common complication following cataract surgery. During cataract surgery, the cloudy natural lens of the eye is replaced with an artificial intraocular lens (IOL). Over time, the thin tissue that supports the IOL, known as the posterior capsule, can become cloudy, leading to blurred or hazy vision. This is where YAG laser capsulotomy comes into play.

 

The procedure YAG laser capsulotomy is a quick and painless procedure, typically completed within a few minutes. It involves the use of a YAG (yttrium aluminium garnet) laser, which emits focused light energy to create a small, precise opening in the cloudy posterior capsule. This opening allows light to pass through unimpeded, restoring clear vision. The patient remains fully conscious throughout the procedure, and no incisions or sutures are required.

 

Benefits of YAG laser capsulotomy enhanced vision:

YAG laser capsulotomy can provide immediate improvement in vision by eliminating the opacity hindering light from reaching the retina. Patients often report a significant increase in visual clarity after the procedure.

 

Non-invasive: As a non-surgical approach, YAG laser capsulotomy reduces the risk of complications and ensures a faster recovery compared to more invasive procedures.

 

Quick and painless: With a short procedure time and minimal discomfort, YAG laser capsulotomy is well-tolerated by most patients, making it an attractive option for those with busy schedules.

 

Long-lasting results: Once the posterior capsule has been treated, it generally remains clear, eliminating the need for further intervention in the majority of cases.

 

Cost-effective: YAG laser capsulotomy is a cost-effective solution, avoiding the expenses associated with another surgery or prolonged treatments.

 

Patient Selection and Precautions

Although YAG laser capsulotomy is considered safe and effective, it is crucial for eye care professionals to carefully assess each patient's specific case before proceeding. Certain factors, such as pre-existing eye conditions or anatomical considerations, might influence the decision to perform the procedure.

 

Post-procedure Care

Following a YAG laser capsulotomy, patients typically experience mild discomfort, which usually resolves within a few hours. Eye drops and prescribed medications may be recommended to prevent infection and reduce inflammation. Vision improvement is often noticed immediately, and patients are generally advised to refrain from strenuous activities for a short period.

 

 

Dr Emma Jones is a highly regarded consultant ophthalmic surgeon with over 20 years of experience. You can book an appointment with Dr Jones on her Top Doctors profile.

By Dr Emma Jones
Ophthalmology

Dr Emma Jones is a highly regarded and accomplished consultant ophthalmic surgeon. She specialises in cataract surgery, glaucoma, chalazion, eye floaters, dry eyes and YAG capsulotomy. Her dedication to advancing medical knowledge and patient care has been reflected in her pursuit of academic excellence and commitment to leadership roles within the medical community.
 
Dr Jones holds a BSc in genetics from the prestigious University of London. Building upon this foundation, she further pursued her medical education and earned an MBBS with double distinction from the University of London in 1998, solidifying her expertise in medical practice. In 2001, she attained the esteemed MRCP qualification from the Royal College of Physicians, demonstrating her proficiency in internal medicine. Additionally, in 2003, she acquired the MRCOphth certification from the Royal College of Ophthalmologists, emphasising her specialised knowledge in ophthalmology. Dr Jones also obtained the MRCSEd from the Royal College of Surgeons, Edinburgh in the same year, underscoring her surgical expertise in the field. Continuing to excel in her career, she achieved the FRCOphth from the Royal College of Ophthalmologists in 2011, reflecting her continued dedication to staying at the forefront of ophthalmic advancements. In 2020, she earned a Master's degree in education from Queen Mary University of London, enriching her ability to contribute to medical education and training.
 
Throughout her professional journey, she has held several prominent positions that have contributed to her expertise and leadership in healthcare. Since 2020, she has been serving as an associate dean for London, Kent, Surrey, and Sussex at Health Education England, where she has played a pivotal role in shaping the region's medical education landscape. Dr Jones commitment to enhancing patient care is evident in her role as the deputy service lead for the Moorfields Glaucoma Service, a position she has held since 2022. Furthermore, her continuous involvement as the audit lead for Moorfields Accident and Emergency since 2011 has reinforced her dedication to quality assurance and patient safety.
 
As a Royal College FRCOphth examiner, she actively contributes to maintaining the highest standards of ophthalmic education and assessment. She has also held significant leadership positions, such as head of school for London Ophthalmology from 2016 to 2020 and deputy head of School from 2015 to 2016, where she shaped the training and development of aspiring ophthalmologists.
 
Over the years, she has honed her expertise through various training programs and fellowships, including the Moorfields Glaucoma Fellowship in 2010-2011, St. Thomas’ Hospital and Kings Hospital Glaucoma ASTO Fellowship in 2009-2010, and the North London SPR Ophthalmology training from 2004 to 2010.

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