The modern technique of cataract surgery involves removing the cloudy contents of the eye's natural lens, while leaving the clear outer membrane (called the capsule) to hold the new intraocular lens in place.

This capsule has cells on it which will, in most cases, continue to produce lens fibers. These fibers are  laid down in an unorganized manner and thus form little beads or "pearls" on the lens capsule.  This resultsin a secondary membrane.

As the lens capsule progressively  opacifies it causes a blurring of vision similar to that which one experiences with a cataract.  This occurs approximately 30-40% of the time and can appear at any time after surgery, as early as several weeks and as late as five or more years later.

The blurred vision or glare and halos produced by such a membrane can be quite significant.

Fortunately, there is a very easy way of solving this problem with a YAG Laser Capsulotomy. 

This procedure is performed in our office using our own YAG (Yttrium Aluminum Garnet) laser.  There procedure takes seconds to perform and is absolutely pain free.  

Immediately following the procedure patients can resume their normal activities without any restrictions.

The patient will usually notice an improvement as soon as the pupil, which is dilated, goes back to its normal size.

The Procedure

• The procedure is completely painless
• Requires dilation
• Performed at the office
• Does not involve any anesthesia (only eyedrops)
• Does not require any preoperative testing or preparation
• Takes less than 5 minutes
• Carries no postoperative restrictions

Complications

There are two rare, but  potentially serious complications to consider:

1. People who have a YAG Laser Capsulotomy have a slightly higher risk of developing a retinal detachment in the future.  The rate is approximately 0.5-1.0%, but can be considerably higher in people who were significantly nearsighted before their cataract surgery.
2. Even more rare (one out of 400-500 cases), the intraocular lens can dislocate through the opening in the capsule, requiring surgical repositioning or replacement.