Laser YAG PCO

[mariepi]

If the laser brakes the capsule membrane what does hold the IOL ?
Is there a danger of leak from the vitreous ?

[JohnHaganMD]

Only a tiny hole is put in the opaque capsular membrane so that the membrane continues to hold the IOL in place.  Leak of vitreous into the anterior chamber is relatively rare. When it does happen its not usually a big problem.

[Sudaich]

I had cataract surgery on April 12th. Before the surgery I only had problems driving at night . Now it's worst. They did the dropless surgery and said I didn't need additional drops . After 3 weeks my eyes got infected. I was put on steroid and anti inflammatory drops . I'm now seeing a retina specialist because I don't trust this surgeon anymore . Today my eye is throbbing and is really red . I'm have an appointment this weekend for the yag laser and I'm wondering if it would be safe to have it done this weekend . Please help . Sherry

[mariepi]

It is me again . Is it possible that the PCO progressively still worsen by now ?  Or the PCO was there  to start and my brain is playing tricks on me
Surgery one eye Sept. 11 second one Oct. 14 without complication.
Will have YAG in  in 3 weeks.

[John C Hagan III, MD, FACS, FAAO]

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[mariepi]

I think I will stop looking on line for more about this and wait for it to be all done. This is almost magic , I remember an old aunt in the 50's having cataract surgery, the poor thing was in bed for a long time, almost died of lung clot..
Thank you very much  

[John C Hagan III, MD, FACS, FAAO]

Hole is cut, capsule retracts leaving a usually round or rectangular opening.  No scraping involved with Yag.  The eximer laser  might be described as scraping or reshaping tissue.  That is used for LASIK surgery on cornea.

JCH MD

[mariepi]

I read somewhere that there is a hole made by the laser and an other place that the capsule is layered scraped  by laser. Can you enlight me here.

[John C Hagan III, MD, FACS, FAAO]

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[mariepi]

Thank you for your reply.

[John C Hagan III, MD, FACS, FAAO]

The IOL is held in place by the struts (haptics) on either side of the center optical part. These are held by the periphery of the capsular bag and by adhesions that form after the surgery.

9 weeks post surgery there is generally low risk of decentration or moving.

With a small to medium size capsulotomy opening the risk is low also of vitreous coming around the IOL into the anterior chamber.  The back surface of the IOL  and the unopened capsule hold it back

JC MD

[mariepi]

P.S.  Is it a possibility that the IOL slip inside the eye The implant was done 5 weeks ago and the YAG will be in 4 weeks