Laser capsulotomy

What is laser capsulotomy?

A laser capsulotomy is a laser-assisted procedure used to treat "secondary cataracts." After cataract removal, an opacity of the posterior lens capsule can develop, worsening vision. The procedure involves making a small hole in the affected lens capsule with a laser, resulting in improved vision. In about 70% of patients after cataract surgery, this posterior lens capsule is lost due to the movement of the artificial lens. The result is a deterioration of vision, which is commonly referred to as "secondary cataracts."

When to perform laser capsulotomy?

The procedure is indicated for patients who have developed secondary cataracts after cataract surgery. The timing of the capsulotomy depends on the individual case, but it is usually performed 12-14 months after cataract surgery. A referral from a physician is required for the procedure.

Contraindications

Laser capsulotomy is not performed in patients with contraindications such as:

• Severe inflammation of the eye.
• Advanced glaucoma.
• Other ocular complications.

It is a good idea to attend the procedure with a companion, as you cannot drive for 24 hours after the procedure.

Course of the procedure:

• Before the procedure, the eye is anesthetized with drops and dilated so that the doctor has a better view of the lens bag.
• The doctor then places a special contact lens on the eye, which helps focus the laser beam on the lens bag.
• The doctor uses the laser to make a small hole in the lens capsule through which light can pass.
• The procedure usually takes a few minutes and is painless.