YAG capsulotomy is suitable with toric lenses, but extra care is needed because rotating or exchanging the lens later becomes more difficult.
Benefits with toric implants
Astigmatism‑correcting lenses also need a clear axis.
- Improved sharpness once capsule haze is removed
- Better ability to assess residual astigmatism and refine glasses
- Reduction in extra glare or blur caused by scatter
- More accurate evaluation of whether lens alignment remains optimal
- Enhanced overall satisfaction when toric alignment is good
Precautions before YAG
Position must be checked first.
- Confirming the toric lens is correctly oriented and stable
- Addressing any significant rotation before opening the capsule
- Explaining that future surgical adjustment is more complex after YAG
- Marking and documenting lens axis and centration
- Proceeding only once both patient and surgeon are happy with lens position
