YAG capsulotomy can be performed in uveitis, but only when inflammation is well controlled and with close monitoring for flare‑ups.
When it may be appropriate
PCO is common after uveitic cataract surgery.
- Quiescent uveitis for a sustained period on stable treatment
- Significant PCO causing blur or glare
- Need to improve view of the posterior segment
- Peri‑procedural use of topical or systemic steroids as advised
- Coordination with an uveitis or retina specialist
Risks and precautions
Inflammatory eyes are more reactive.
- Higher risk of post‑laser inflammation and macular oedema
- Requirement for frequent follow‑up in the early period
- Adjustment of immunosuppression or steroid regimen around the procedure
- Careful energy settings and smallest effective capsulotomy size
- Clear counselling that control of uveitis remains the main determinant of outcome
