YAG capsulotomy is suitable when only one eye has bothersome posterior capsule opacification and the other eye remains clear.
Reasons to treat a single eye
Asymmetry itself can be a problem.
- Noticeable difference in clarity or brightness between eyes
- Imbalance causing headaches, eye strain, or difficulty reading
- Single‑eye glare or haze affecting driving and depth perception
- Clear PCO in the symptomatic eye, with good potential for improvement
- Fellow eye either clear or with minimal capsule changes
Points to discuss
The goal is comfortable binocular vision.
- How much the imbalance affects daily life
- Possibility that the second eye may need YAG later if PCO develops
- Small risks of the procedure versus expected gain in the affected eye
- Impact on driving and work while one eye is temporarily more blurred after laser
- Plan for follow‑up of both eyes over time
