Blurry patch after yag capsulotomy

Can you give us an update?

I had cataract surgery in dec 2017 and an exchange in April. Dr says “let’s do yag” in non exchanged lens ( which is .75 off with a 1.25 astigmatism after surgery...before surgery no astigmatism and Plano) restor multifocal 2.5 in both eyes. Toric in one eye. I’m holding off on yag due to dr changing his mind every time I went in for check up ...yes exchange, then we did an exchange in first eye because of his mistake and now says no to exchange because of my reaction, not his inexperience. Anyway, I’m fearful for yag and then years later wanting to exchange this lens because further lasik or PRK won’t work.  

Previous lasik patient here, struggling with what to do next , and further info would be helpful

Hi brizy, I will surely keep you informed. I really hope to send you an update as that would mean a change in my condition - hopefully to the better! I wish you good luck and please keep me informed too!

Has anyone had these resolve on their own?? It's been over 3 months since I had YAG done in both eyes and developed these huge moving cloud-like patches in BOTH my eyes as an after-effect of YAG. Horrible. I saw MUCH better BEFORE the YAG procedures!!

I'm told these cloud-like moving blobs can only be removed with vitrectomies, which carry very serious risks. I'm told laser is ineffective to treat these types of "floaters".

Help!

Hi Littleparrot,

I'm really sorry to confirm that what people told you about your vision is probably right - it's what I'm always told too.

I'm from Gozo, Malta, I'm 48 years old, did cataract surgery in both eyes about 5 years ago and YAG in left eye 2 years ago. Unfortunately I see exactly what you see. It's been exactly the same for the past 2 years - no improvements whatsoever (after being told that YAG is always 100% successful (!) ... besides it seems that my astigmatism has re-emerged after YAG, and perhaps I'm even more astigmatic than I was before my cataract operation (I had bought expensive made-to-measure artificial silicone lenses to correct my astigmatism).

I admit I've been passing through some really bad times because of these issues in my left eye's vision. At times it really gets me crazy and frustrated ... I lost my positivity about life and feel much older than my age ... always fearing my vision will get worse and worse in the near future ....

What I can tell you is that one thing improved, if only very slightly, in these past two years - it's that I kind of started to accept the fact that the way I see is the only and best way I could actually see ...

Yours,

Mario

I know this thread is old, but I discovered it as I am doing research about getting a YAG PCO on my left eye after having cataract surgery in August 2020 and a bit nervous on what I am finding. Has anything gotten better for anyone? Would the Cruciate (cross) cut prevented the floaters from happening? I am trying to hold off on getting this done and sounds like things can go wrong very easily even though you hear how common a procedure this is suppose to be.

Any advice?

i don't know if this thread is still active but, decided to say my piece. I am much older that most on the contributors listed at 69 yrs. I had a cataract removed and a TECNIS® MULTIFOCAL IOL +2.75 D MODEL ZKB00 installed. Vision was restored to 20/20 one day post surgery. I had a few weeks of increased pressure which settled down with drops. Roughly three weeks later, what was diagnosed as PCO developed. It was progressive and worsening. The surgeon recommended a YAG to clear things up and the following day after the procedure my vision was clear, 20/20 and life was good.

Gradually, the areas of blur and haze which moved around developed. They were were initially diagnosed as "floaters". The floaters evolved to an overall haziness which is marked by a delayed onset after blinking over roughly 3-4 seconds.

Surprisingly, on follow up, I was now told that this was likely the result cognitive adaptation to the multifocal. I was given a new prescription for glasses.

The specialists have ruled out detached retina, a recurrence of PCO. An "insignificant" level of scarring at the incision point was noted.

I have scheduled an evaluation with one of the specialists at a nearby medical college. I am going on 2 years post surgery. Unfortunately, have to wait till August for the eval and more than disillusioned with my current level of vision. I am definitely worse than previously having yearly script changes for progressives.

Has anyone gone forward with PKO, lens exchange, or experienced improvement over a number of years?

Hi Breezy are you still active on here?

Hi Brizy, I read your blog with interest as I had Yag done 3 days ago. im really worried as I have exactly what you speak if, kind of blurry thing over eye like original capsule when I look down then up, especially in bright light. Cos is like transparent curtain i worry if is a retinal orob but dr did say he had cut almost round the thing and it wd fall away in few days into vitreous. Like you if i really focus and look straight ahead vision fine, much better than vefore yag bu i still worry as gave health anxiety and also diabetes and glaucoma. They never checked my pressures before or after op at Waterford hospital (Ireland) and I asked about a prescription to take,bin addition to my normal drops, to manage eye pressure but they said no need as my op was not directly glaucoma related. BUT I HAVE GLAUCOMA!!!!

I will get a follow up appt in few weeks so am just praying eyes will be ok and they will say is not serious.

hi my name is Ricky I had yag done 12 days ago when I turn my eyes left to right I see a blurry place but after a few seconds it disappears I go back to the doctor December to do the other eye if has not cleared up I don't think I'm going to let him do it

Hi Brizy and others,

I had yag capsulotomy on my right eye about 3 weeks ago and have the same issue. I am seeing a hazy blob in my vision that moves when I move my eye. If I look down, then up, especially at a light or bright area, there is a large hazy area and there are points coming from it in a starburst pattern. If I stare, for several seconds, at a light, for example, the starburst pattern slowly spins and then clears as if it is now in focus and clear. It is repeatable that if I look down, then up, it is in my vision with the above effects. I went back 3 days after the surgery for follow up and yag on the other eye, but did not have the other eye done due to these issues. Dr said it was dry eyes and put in punctal plugs and said to use more viscous drops. Came back 2 wks later and told him there was no improvement and that I thought it was material from the yag procedure in my vision. He said he didn't see anything. I had him watch when I looked down, then up, and then he could see it. He said it should drop out of my vision in time. I have another appt in 4 wks to check on it again. I have seen no change since it happened. I would think I would see some difference by now if it was going to move. It has really affected my well being and I regret having the yag done since the slight haze really wasn't bothering me much. He just said that this was typically done after lens replacement and would clarify my vision and was a quick procedure done in office and was very safe. I should also mention that I had the Alcon circular multifocal lenses put in for cataracts. Unfortunately for me I am a 61 yo and so would expect that my vitreous gel would be thinner already from what I have read, but not sure. He did say that he could try to break it up with yag again, but preferred to wait to see if it drops on its own. It sounds like the more exposure to energy from yag, the higher the risk of retinal detachment So for now I plan to return in 4 weeks. I did ask if he used a pattern or circle when doing the capsulotomy and he said circle. I was really appreciative to find this forum to learn more about this and be able to identify the issue so thank you all for sharing.