No. YAG capsulotomy is not suitable if investigations show that symptoms are due mainly to another cause rather than posterior capsule opacification.
Examples where YAG will not help
Other conditions must be addressed instead.
- Macular degeneration, diabetic maculopathy, or epiretinal membrane causing central blur
- Uncorrected refractive error or incorrectly powered intraocular lens
- Corneal scarring, severe dry eye, or irregular astigmatism
- Neurological or optic‑nerve disease affecting the visual pathway
- Symptoms dominated by multifocal lens optics rather than capsule haze
Better strategies in these situations
Management is tailored to the true cause.
- Updating spectacles or considering lens exchange where appropriate
- Treating retinal or corneal disease with targeted therapies
- Optimising dry‑eye care and ocular surface health
- Using low‑vision aids when structural damage limits potential vision
- Revisiting the option of YAG only if significant PCO develops later
