---
title: "Is YAG capsulotomy suitable if lens position is slightly off-centre?"
description: "YAG capsulotomy may still be suitable if lens position is only slightly off‑centre, but significant decentration or instability should be addressed first. ## When YAG can proceed Mild decentration often causes little optical impact. - Lens well supported with only…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-yag-capsulotomy-suitable-if-lens-position-is-slightly-off-centre/"
updated: "2025-12-24"
category: Suitability
---

# Is YAG capsulotomy suitable if lens position is slightly off-centre?

YAG capsulotomy may still be suitable if lens position is only slightly off‑centre, but significant decentration or instability should be addressed first.

## When YAG can proceed

Mild decentration often causes little optical impact.

- Lens well supported with only small, stable displacement
- Symptoms mainly attributable to PCO rather than lens misalignment
- No evidence of progressive tilting, subluxation, or zonular weakness
- Careful, central capsulotomy planned to avoid stressing the haptics
- Understanding that minor positional quirks are unlikely to change with YAG

## When to postpone YAG

Lens stability must be secure.

- Noticeable visual aberrations from tilt or decentration
- Suspicion of loose zonules or capsular bag instability
- Possible need for recentring, suturing, or lens exchange
- Recognition that opening the capsule makes future surgery more complex
- Decision with a specialist to correct position before or instead of YAG