YAG capsulotomy is very commonly performed and highly suitable in eyes with monofocal lenses when PCO affects vision.
Why it works well
Monofocal optics are simple and robust.
- High likelihood of improved clarity and contrast once haze is removed
- Predictable refraction after the capsule is opened
- Lower sensitivity to subtle optical imperfections than premium lenses
- Easy assessment of outcome compared with pre‑PCO vision
- Standard technique with extensive clinical experience and guidance
Usual precautions
General YAG considerations still apply.
- Confirming that PCO, not other disease, explains the symptoms
- Discussing risks such as transient pressure rise or floaters
- Checking retinal status in higher‑risk eyes
- Scheduling follow‑up refraction and pressure measurement
- Advising prompt review if new flashes, floaters, or shadows occur
