YAG capsulotomy is suitable for very thick capsules and often brings substantial benefit, but the laser settings and follow‑up need particular care.
Why thick capsules are treated
Dense opacification acts like a new cataract.
- Marked haze and glare that significantly reduce vision
- Poor view of the retina until an opening is created
- Strong expectation of improved acuity and contrast after laser
- Reduced need for further intervention once an adequate window is formed
- Ability to reassess overall eye health once the view is restored
Extra considerations with thick PCO
Energy and monitoring are adjusted accordingly.
- Using slightly higher or staged laser energy to break dense tissue safely
- Creating a well‑sized opening without over‑treating the capsule
- Close checks for transient pressure rises and inflammation
- Warning about more noticeable floaters immediately after the procedure
- Repeat capsulotomy only rarely required if the initial opening is adequate
