https://www.aao.org/eye-health/treatments/what-is-posterior-capsulotomy
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An illustration of a laser beam opens the hazy capsule behind the intraocular lens.
What Is a Posterior Capsulotomy?
Leer en Español: ¿Qué es la capsulotomía posterior?
Written By: Kierstan Boyd
Reviewed By: Elena M Jimenez MD
Dec. 15, 2017
Posterior capsulotomy is laser surgery you might need sometime after cataract surgery. It helps you see clearly if your vision becomes cloudy again.
When you have cataract surgery, your ophthalmologist removes your eye’s cloudy lens. They replace it with a clear, artificial intraocular lens (IOL). The IOL is held in place in the eye’s natural lens capsule. Weeks, months or years later, this capsule can become cloudy or wrinkled, causing blurry vision. This is called a posterior capsule opacification (PCO). It’s also sometimes called a “secondary cataract” or “scar tissue.” With posterior capsulotomy, a laser is used to make an opening in the cloudy capsule. This allows light to pass through again for clear vision.
What Happens During Posterior Capsulotomy?
The procedure is done in your ophthalmologist’s office. It only takes about 5 minutes. Here is what will happen:
Your eye will be numbed with eye drops.
Your ophthalmologist will point a special laser at the back of the lens capsule and make a small opening.
After the procedure, usually you can do all your normal daily activities, including driving. Your ophthalmologist will tell you if there are things you should not do right after surgery.
You may need to use eye-drop medicine for one week after the surgery. Your ophthalmologist will let you know if this is necessary.
If you have no other eye problems affecting your vision, your sight should improve in about 24 hours.
What Are the Risks of Posterior Capsulotomy?
As with any surgery, there are possible risks and complications with posterior capsulotomy. Here are some of them:
You may have a detached retina (where the tissue lifts from the back of your eye). You may see what looks like a gray curtain moving across your field of vision. You might also see a lot of floaters.
The pressure in your eye may increase.
The IOL might move through the posterior capsule opening.
You may have swelling in your eye, and you may need steroid eye drops.
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JAN 18, 2018
Does it make sense to have both IOLs set for near/computer distance and then wear glasses for driving?
OCT 27, 2017
© American Academy of Ophthalmology 2018
ANNUAL MEETING CLINICAL EDUCATION PRACTICE MANAGEMENT MEMBER SERVICES ADVOCACY FOUNDATION ABOUT SUBSPECIALTIES & MORE EYE HEALTH
Search AAO.org
Find an Ophthalmologist
Academy Store
Eye Health A-Z
Symptoms
Glasses & Contacts
Tips & Prevention
News
Ask an Ophthalmologist
Patient Stories
Español
Eye Health / Eye Health A-Z
An illustration of a laser beam opens the hazy capsule behind the intraocular lens.
What Is a Posterior Capsulotomy?
Leer en Español: ¿Qué es la capsulotomía posterior?
Written By: Kierstan Boyd
Reviewed By: Elena M Jimenez MD
Dec. 15, 2017
Posterior capsulotomy is laser surgery you might need sometime after cataract surgery. It helps you see clearly if your vision becomes cloudy again.
When you have cataract surgery, your ophthalmologist removes your eye’s cloudy lens. They replace it with a clear, artificial intraocular lens (IOL). The IOL is held in place in the eye’s natural lens capsule. Weeks, months or years later, this capsule can become cloudy or wrinkled, causing blurry vision. This is called a posterior capsule opacification (PCO). It’s also sometimes called a “secondary cataract” or “scar tissue.” With posterior capsulotomy, a laser is used to make an opening in the cloudy capsule. This allows light to pass through again for clear vision.
What Happens During Posterior Capsulotomy?
The procedure is done in your ophthalmologist’s office. It only takes about 5 minutes. Here is what will happen:
Your eye will be numbed with eye drops.
Your ophthalmologist will point a special laser at the back of the lens capsule and make a small opening.
After the procedure, usually you can do all your normal daily activities, including driving. Your ophthalmologist will tell you if there are things you should not do right after surgery.
You may need to use eye-drop medicine for one week after the surgery. Your ophthalmologist will let you know if this is necessary.
If you have no other eye problems affecting your vision, your sight should improve in about 24 hours.
What Are the Risks of Posterior Capsulotomy?
As with any surgery, there are possible risks and complications with posterior capsulotomy. Here are some of them:
You may have a detached retina (where the tissue lifts from the back of your eye). You may see what looks like a gray curtain moving across your field of vision. You might also see a lot of floaters.
The pressure in your eye may increase.
The IOL might move through the posterior capsule opening.
You may have swelling in your eye, and you may need steroid eye drops.
How to Put in Eye Drops
SEP 28, 2018
If I’m allergic to acrylic nail products could I also have a reaction to an acrylic IOL?
APR 24, 2018
Can my mother-in-law have cataract surgery while being treated for cancer?
JAN 19, 2018
Would an intraocular lens or a corneal inlay work better to treat presbyopia?
JAN 18, 2018
Does it make sense to have both IOLs set for near/computer distance and then wear glasses for driving?
OCT 27, 2017
© American Academy of Ophthalmology 2018
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