YAG capsulotomy is usually suitable in ocular hypertension, with similar considerations to early glaucoma but generally more reserve.
Why it is often appropriate
Lens capsule haze can be treated while still protecting the optic nerve.
- Need to improve vision or glare due to PCO
- Stable optic‑nerve appearance and visual fields
- Controlled eye pressure on or off drops
- Short procedure that can be covered by temporary extra pressure checks
- Continued long‑term monitoring for possible glaucoma development
Pressure management
Short‑term rises must be anticipated.
- Pre‑ and post‑laser pressure measurements
- Prophylactic pressure‑lowering drops if recommended
- Advice on symptoms of acute pressure rise and when to seek urgent review
- Adjustment of existing drops if any sustained increase occurs
- Documentation of pressures and optic‑nerve status before and after treatment
