Yag laser capsulotomy is the easiest and simplest eye surgery that ophthalmologists perform within the eye. Surgery is generally indicated when vision is unsatisfactory with the eye and the cloudy posterior capsule is the causes. The risk of a retinal detachment for MOST eyes (unless their is a pre-existing major risk factor such as high myopia) is less than 1%. Discuss with your surgeon whether you have any additional risk factors.
Not sure if you will get this after so much time! I had a successful retinal detachment surgery ( vitrectomy with gas bubble) a year ago in April 2015. Just had cataract surgery in that same eye. After the surgery my doctor said I had a posterior cataract and he did not want aggressively " polish" so instead would like to do a Yag treatment right away since my post op vision( one day after cataract surgery) is 20/50 but the lense is cloudy and we can fix it right away. I am wondering if this seems too quick to move forward with Yag so soon after cataract surgery. Also I am concerned with increased risk of retinal detachment. I know that a redetachment with a buckle is unlikely but do not know how risky it is with post vitrectomy redetachment. Thank you in advance for any insight!
I would suggest you ask your retinal surgeon and that the cataract surgeon also call the retina surgeon and ask for advice. Yag capsulotomy is never an emergency so there would be no problem with waiting. Another thing is that a risk of Yag cap is macular edema (swelling) that might be lower if the yag cap was done in several months.
Thank you so very much for your quick reply!! It is very reassuring to be able to get your feedback! I am wondering if that does make sense that during the surgery the posterior clouded cataract was present as well as a nucleous (sp) cataract but the surgeon felt that with my retinal detachment history and vitrectomy in April 2015 (successful until cataract developed) that he did not want to be too aggressive with "polishing the lens" that was left and felt a yag treatment directly following the surgery would be safer. Would there be anything preoperative thing that could have caused this issue with the lense other than he was being very conservative with the lense? Like lense choice or measurement of the eye ect? Doesn't seem to make sense but asking anyway! Apologies, I realize I am repeating but I guess I'm confused about why the secondary cataract didn't "develop" as it typically seems to do but the cloudiness was actually still present during the surgery and could not be fixed during surgery. Also, my retinal surgeon ( who by the way recommended the opthamolgist) did clear me for cataract surgery and my cataract surgeon informed me to set an appt with the retinal doc in a about ten days following cataract surgery but did not say to check with him prior to this yag.
I'm tested at 20/50 and surgeon said with the yag it would closer to 20/30 or maybe even 20/20. My main concern and fear is a redetachment of the retina... Are the risks as big as it seems from reading all the scary reports on the Internet?? Again thank you so very much for your valuable time and any information you can give. Best regards~
First in most cases cataracts (and there are many types the most common are nuclear, cortical and posterior subcapsular (psc)) and many times there are more than one, most common is Nuclear/cortical combo.
Most cataracts do not cloud or discolor the posterior capsule or by used a 'capsular polisher'; the surgeon can clear the posterior capsule. Sometimes this is not possible as the whole capsular wall is discolored or the cloudy area clings to the capsule and will not come off without breaking the capsule. So I think your surgeon likely did the correct thing.
I am less certain about the avisablity of doing the Yag immediately and would suggest one of two options: 1. Call the retina surgeon and ask for his/her advice. 2. postpone the yag until after you see the retina surgeon and they can observe how cloudy it is and what the status of the retina is. My choice if it were me would be option 2.
Dr Hagen... Again thank you so very much for your response!! I truly appreciate your time and incredibly quick response. Please know how valuable your help is to many people! I will if you don't mind let you know what my retinal surgeon says and the eventual outcome! Last question, how concerned should I really be about retinal redetachment.. ( I have read your many responses to others ) but statistics can be confusing and so misleading sometimes ....I think I am just looking for reassurance that with okay from retinal surgeon that it is hopefully highly unlikely to occur!! Again, such a pleasure to be able to communicate with you~ Best regards~
Is the risk similar with the
vitrectomy surgery and no buckle? And by handicap I assume you mean make sure weak areas are treated with laser? I promise I won't keep asking follow up questions!! Thank you again!
Thank you again for your time and valuable insight! I've read many of your posts over this last year and have appreciated your willingness to be available to so many! Many thanks~
That's too bad!! :( Not fair of the weather to do that over a long weekend! I'm in Salt Lake City and we are seeing nothing but sunshine!! Sunshine makes everything better :):)