YAG capsulotomy can be suitable with macular degeneration, but improvement is limited by the underlying macular damage.
When it may help
Clearing capsule haze can maximise remaining vision.
- Posterior capsule opacification clearly contributing to extra blur or glare
- Stable dry or treated wet macular degeneration
- Need for a better view of the macula for imaging and injections
- Expectation of modest gains in contrast and brightness rather than perfect sight
- Use of magnifiers and low‑vision aids still likely after laser
Points to clarify
Managing expectations is crucial.
- YAG does not reverse macular degeneration itself
- Any central distortion or missing areas are likely to persist
- Benefits may be more noticeable for distance than for detailed reading
- Ongoing macular monitoring and treatment remain essential
- Decision based on how much PCO adds to existing visual limitations
