The most common complication of adults having standard
extracapsular surgery or phacoemulsification for cataracts is clouding of the
part of the lens covering (capsule) that remains after surgery, called
posterior capsule opacification. If the cloudiness affects your vision, you may
choose to have a laser surgery called Nd:YAG posterior capsulotomy to correct
A laser (Nd:YAG laser) is used to cut a hole in the
clouded back lining of the lens capsule to allow light to pass through the
membrane to the retina at the back of the eye.
It is possible that the main title of the report Hyperferritinemia Cataract Syndrome is not the name you expected. Please check the synonyms listing to find the alternate name(s) and disorder subdivision(s) covered by this report.
Nd:YAG laser posterior capsulotomy is
an outpatient procedure. It does not require anesthesia, and it is painless.
The person may wait in the outpatient surgery area or the doctor's office for 1
to 2 hours after the procedure so that he or she can have the pressure in the
eye (intraocular pressure) checked. Intraocular pressure (IOP) is the pressure
caused by the fluid inside the eye that helps keep the shape of the
Why It Is Done
After cataract surgery, some people notice cloudiness (sometimes called aftercataract) after several months or years. In some people, it can
become very dense and cause as much or more vision loss as the original
The decision to have this procedure is based on the
same criteria as the decision to have the original cataract surgery:
Vision problems are affecting your work or
Glare caused by bright lights is a
You cannot pass a vision test required for a driver's
Swelling of the center of the retina
Damage or displacement of the intraocular
Bleeding into the front of the eye.
the clear covering of the eye (corneal edema).
What To Think About
It is common to have a new floater in the eye after this surgery.
Nd:YAG laser posterior capsulotomy
is not used to prevent clouding of the back lining of the lens capsule
(posterior capsule opacification). There is no way to know who will get
clouding in the back of the eye after cataract surgery. Certain lenses used in
the surgery to remove the cataract may lower this risk and the need for laser
As with cataract surgery, it is important to weigh
the risks and possible benefits of laser capsulotomy before deciding to have
the surgery. About 1 out of 50 people who have laser capsulotomy after cataract
surgery develop retinal detachment, which can cause serious vision
Ranta P, et al. (2004). Retinal breaks and detachment after neodymium:YAG laser posterior capsulotomy: Five-year incidence in a prospective cohort. Journal of Cataract and Refractive Surgery, 30(1): 58–66.
Primary Medical Reviewer
Adam Husney, MD - Family Medicine
Specialist Medical Reviewer
Carol L. Karp, MD - Ophthalmology
August 24, 2011
WebMD Medical Reference from Healthwise
August 24, 2011
This information is not intended to replace the advice of a doctor.
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