---
title: Is YAG capsulotomy suitable for dense PCO?
description: "Dense posterior capsule opacification is strongly suited to YAG capsulotomy, as visual benefit is usually significant. ## Characteristics of dense PCO The capsule acts almost like a new cataract. - Marked reduction in vision with pronounced haze and glare -…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-yag-capsulotomy-suitable-for-dense-pco/"
updated: "2025-12-24"
category: Suitability
---

# Is YAG capsulotomy suitable for dense PCO?

Dense posterior capsule opacification is strongly suited to YAG capsulotomy, as visual benefit is usually significant.

## Characteristics of dense PCO

The capsule acts almost like a new cataract.

- Marked reduction in vision with pronounced haze and glare
- Difficulties reading, driving, or recognising faces
- Posterior capsule visibly thick and fibrotic behind the lens
- Retina hard to inspect clearly until an opening is made
- High expectation of improved acuity and contrast after laser

## Special considerations

Dense opacities may require a slightly larger or more careful opening.

- Possibility of more noticeable floaters immediately afterwards
- Need for closer pressure monitoring in the early period
- Re‑evaluation of retina and macula once the view improves
- Discussion of rare risks such as lens pitting or retinal tears
- Overall strong benefit-risk balance in most patients
