What is posterior capsule opacification?

Written in association with: Miss Sengal Nadarajah
Published: | Updated: 02/10/2023
Edited by: Conor Lynch

In one of our latest articles here below, Miss Sengal Nadarajah, a distinguished consultant ophthalmologist, explains what posterior capsule opacification is, describes how it is treated, and tells us what recovery time from the surgery used to treat it (YAG laser capsulotomy) usually entails for patients.

What is posterior capsule opacification?

When a patient undergoes cataract surgery, the cataract is removed, and the new lens is implanted within the capsule bag. In about 10 per cent of patients, this capsule may become opaque. This leads to clouding of the vision. We refer to this as posterior capsule opacification. 

 

How is it treated?

Posterior capsule opacification can be treated effectively with YAG laser capsulotomy. This operation is quick and safe procedure that can effectively get rid of the opaqueness.

 

How is the procedure performed?

This is an outpatient procedure which is performed under topical anaesthetic. It takes roughly 10 minutes to complete. The laser beam is used to make an opening in the central part of the opaque capsule, which allows light to pass through.

 

What is recovery time like?

Patients may experience some glare or discomfort following the procedure, but they should be able to return to normal activities almost immediately.

 

How effective is the treatment?

It is very effective. The procedure does not normally need to be repeated.

 

Are there any potential complications?

The most common complication is the development of floaters, which relates to the breaking down of the opaque membrane, which settles after some time. Complications, though, are quite rare.

 

If you are considering undergoing a YAG laser capsulotomy, or if you have been recommended for the procedure, then make sure to book a consultation with Miss Sengal Nadarajah today via her Top Doctors profile.

By Miss Sengal Nadarajah
Ophthalmology

Miss Sengal Nadarajah is a consultant ophthalmologist with more than 20 years' experience. She has private practices at East Surrey Hospital and at Panacea Medical Centre in Worthing, and has a special interest in cataract surgery and medical retina, including age-related macular degeneration, diabetic eye disease, retinal vascular disease, and inflammatory eye disease. 

Following completion of her MBBS from Mangalore University, India, Miss Nadarajah specialised in ophthalmology and became a consultant at Selayang Hospital in Kuala Lumpur, a tertiary centre for retinal diseases in Malaysia. She moved to the UK in 2004, where she trained and worked as a vitreoretinal surgeon. As her interest in retinal diseases continued to grow, she pursued a medical retina fellowship at Moorfields Eye Hospital, London before working as a locum consultant at Moorfields Eye Hospital in 2016. Subsequent to her appointment as a consultant Surrey and Sussex Healthcare Trust in 2017, she was selected to the the trust's lead clinician for ophthalmology and is proud to have assisted the trust in achieving CQC overall outstanding rating over the last few years.

Drawing on her significant experience, Miss Nadarajah prides herself in providing the highest level of care, advice, and treatment for her patients. Her involvement in research projects both nationally and internationally has ensured she is at the forefront of new treatments for her patients. 

Miss Nadarajah's interest in service development led her to complete the postgraduate certificate in clinical leadership in 2013, and the Mary Seacole Leadership programme in 2015. She prides herself in developing services, including setting up one-stop retinal clinics in Western Sussex Hospitals NHS Foundation Trust in 2013, working in partnership with community optometrists for post cataract surgery review in Moorfields Croydon in 2016, and developing virtual clinics in Surrey and Sussex Healthcare Trust. She continues to develop ophthalmic services by optimising and directing technology to widen the accessibility of treatments. 

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