Quick Answer: How Do I Know If I Have Posterior Capsular Opacification?

How quickly can a secondary cataract form?

Secondary cataracts can develop within months or years after cataract surgery is completed..

Is it possible for a cataract to grow back?

Or can cataract grow back? No, cataracts cannot grow back. However, sometimes after successful cataract surgery, the natural capsule that is left behind becomes cloudy. This causes the vision to become blurry again, much like it was before cataract surgery.

What are the symptoms of posterior capsule opacification?

Sight can become blurred and cloudy, or you may have problems with bright lights and glare. The effects of PCO on your sight are very similar to the changes you may have had when your cataract first started to cause you problems.

How do I know if I need YAG surgery?

Other signs that you might need YAG laser capsulotomy include: Glare caused by bright lights. Failing a vision test when trying to get your driver’s license. Double vision.

How can posterior capsular opacification be prevented?

The most important contribution to preventing PCO is to use an IOL with a square edge. In particular, I recommend using a 360° square-edged IOL. I do not think that the implantation of a capsular tension ring can reduce the incidence of PCO.

How long does it take to recover from YAG laser?

The treatment for PCO is quite simple and is done with a YAG Laser Capsulotomy, a painless laser procedure that takes only a few minutes. There is no downtime after a YAG Laser Capsulotomy, but many patients experience floaters in their vision for a few weeks.

How long after cataract surgery can you have YAG laser?

Capsule thickening can happen in the months after your cataract operation, but more commonly occurs about two years after surgery. Yag laser capsulotomy is the only way to treat this.

What are the symptoms of a secondary cataract?

Secondary cataract is associated with symptoms similar to primary cataract, such as:Lack of visual acuity that hinders near and far vision and can affect one or both eyes.Blinding, especially with frontal lights at night.Difficulty in the perception of colors.Blurry or opaque visio.

Can posterior capsule opacification reoccur?

Posterior capsular opacification (PCO) is common after cataract surgery. Recurrence is very rare after a successful Yttrium aluminium-garnet (YAG) capsulotomy in adults.

How is posterior capsular opacification treated?

Posterior capsular opacification is a result of clouding of a membrane that surrounds the replacement lens implanted during cataract surgery. Fortunately, PCO is easily treated using a YAG (Yttrium Aluminum Garnet) laser.

What causes posterior capsular opacification?

Because PCO is predominantly caused by residual LECs in the capsular bag after cataract surgery,2,19,53several surgical techniques have been attempted for the removal of these LECs at the time of lens extraction.

Does YAG surgery ever have to be repeated?

You will sit behind the YAG laser (which looks like a microscope) and will look where the doctor tells you. On average, about 50 pulses from the laser will be used to treat your eye. Once the procedure is complete, it should not have to be repeated again in the future.

What are the risks of YAG laser capsulotomy?

RisksDetachment of the nerve layer at the back of the eye (retinal detachment).Swelling of the center of the retina (macular edema).Damage or displacement of the intraocular lens.Bleeding into the front of the eye.Swelling of the clear covering of the eye (corneal edema).

What causes cloudiness in the eye immediately after cataract surgery?

Sometimes after cataract surgery, you may find that things start to look cloudy again. It happens because a lens capsule — the part of your eye that holds your new artificial lens in place — begins to thicken up. You may hear your doctor call this by its medical name: posterior capsule opacification.

How long does YAG laser capsulotomy take?

2 hoursHow long does a YAG laser capsulotomy treatment take? YAG capsulotomy is an outpatient procedure and can take just minutes to perform, but you should allow up to 2 hours for your appointment.

Is YAG surgery covered by insurance?

YAG laser treatments are covered as a medical necessity under all insurance plans, including Medicare and Medicaid.

Do floaters go away after YAG surgery?

Floaters remain the most common after-effect of YAG capsulotomy. Floaters after YAG surgery happen because of the transient debris created by all the interference going on during your surgeries. While floaters usually disappear within a couple weeks, they can be extremely disorienting.

How common is posterior capsular opacification?

Posterior capsular opacification (PCO) occurs when a cloudy layer of scar tissue forms behind your lens implant. This may cause you to have blurry or hazy vision, or to see a lot of glare from lights. PCO is fairly common after cataract surgery, occurring in about 20% of patients.

How long after cataract surgery can posterior capsular opacification occur?

The second wave typically occurs 12 months to 18 months after surgery, leading to Elschnig pearl formation on the posterior capsule. This late formation is visually disturbing with all lenses.

Is it possible to get a second cataract in the same eye?

So, it is actually impossible to get another cataract. All of that said, there is a secondary condition that can occur after cataract surgery that has extremely similar symptoms. This is often called after-cataract but is medically referred to as a posterior capsular opacity.

Does insurance cover YAG laser capsulotomy?

A: As a medically necessary procedure, YAG capsulotomy is covered. Coverage criteria include reduced visual acuity (check your local carrier policy for specifics), and a complaint from the patient.