No. YAG capsulotomy is not always necessary; it is only needed when PCO causes symptoms that justify treatment.
Why it is not routine for everyone
Many capsules remain clear enough.
- Some people never develop visually significant PCO
- Others show mild clouding that never bothers them
- Laser carries small but real risks that should not be taken unnecessarily
- Glasses updates or addressing other issues may solve the problem instead
- Decision is based on symptoms, examination, and personal priorities
When it becomes appropriate
Symptoms and function guide timing.
- Noticeable impact on driving, reading, or quality of life
- Clear correlation between symptoms and capsule haze
- Other causes of blurred vision excluded or treated
- Patient understands benefits, risks, and alternatives
- Clinician and patient jointly agree that YAG is worthwhile
