Yes. A normal OCT can support the decision to perform YAG capsulotomy, because it shows that the retina is healthy and that PCO is a likely cause of blur.
Why a normal OCT helps
It narrows down the cause of symptoms.
- No macular oedema, degeneration, or epiretinal membrane seen
- Blur or glare more likely to arise from capsule haze or refractive error
- Expectation that clearing the capsule can reveal near‑normal retinal function
- Useful baseline to compare with future scans if symptoms change
- Supports counselling that YAG may restore vision close to post‑cataract levels
Other factors still needed
OCT alone does not decide suitability.
- Symptoms must be significant enough to justify the procedure
- Slit‑lamp exam should confirm meaningful PCO
- Refraction should exclude glasses as the main solution
- General eye health and pressure must be appropriate for laser
- Shared decision is still essential even with a normal OCT
