YAG capsulotomy is often suitable and sometimes particularly helpful with multifocal lenses, as these rely on a clear visual axis to work well.
Potential benefits
PCO can quickly degrade multifocal performance.
- Improved sharpness at distance, intermediate, and near once haze is removed
- Reduction in additional glare or halos caused by capsule scatter
- Better ability to judge whether any remaining symptoms are lens‑design related
- More accurate refraction and assessment of spectacle needs
- Enhanced satisfaction in otherwise well‑centred, healthy eyes
Important considerations
YAG makes later lens exchange more complex.
- Confirming lens centration and suitability before opening the capsule
- Ensuring other causes of dissatisfaction are explored first
- Understanding that once YAG is done, surgical lens exchange carries higher risk
- Balancing the desire for clarity against possible future need for lens adjustment
- Careful documentation of counselling and consent
