Moderate posterior capsule opacification is a common and appropriate indication for YAG capsulotomy when symptoms affect daily activities.
Typical features of moderate PCO
Clouding is obvious clinically and functionally.
- Noticeable drop in clarity, contrast, and night‑time comfort
- Glare or halo problems that interfere with driving or reading
- Posterior capsule clearly hazy but not completely opaque
- Good potential for improvement based on other ocular findings
- Benefit likely to outweigh the small risks of the laser procedure
Pre‑treatment discussion
Expectations should be clear.
- Explanation of the quick, painless nature of YAG capsulotomy
- Outline of possible temporary floaters or pressure rise
- Advice on symptoms of rare complications, such as retinal detachment
- Plan for review and refraction after vision stabilises
- Reassurance that repeat capsulotomy is rarely required
