YAG following Cataract Surgery
Posted , 6 users are following.
My Mom had the YAG laser done yesterday in one eye(she had Cataract Surgery 10 months ago)
Her right eye has been blurry since 2 weeks after the surgery. Yesterday afternoon she had the YAG done. This morning her vision is still blurry as if nothing was done. The Doctor made it sound like her vision would be clear in an hour. I looked around online and it does not say anywhere that the vision is better in an hour. I would appreciate any input on your experience with this procedure.
How long before you could see better?
0 likes, 21 replies
freeman62151 Shae280
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I had cataracts removed from both eyes 5 months ago.After surgery on my right eye it became cloudy in 2 days.I was schedule an appointment to check my right eye and prepare me for the left eye.When he checked my right eye which I just had surgery on ,I could only read the first line at the top of the eye chart,I was not very impressed,I could see further down the chart without the cataracts removed.Anyway he tells me I would need YAG and it would clear it up and scheduled me for my left eye surgery in three weeks and the Yag treatment in four weeks on my right eye.After the left eye surgery it was cloudy and blurry even worst than the right eye with a black rim in the corner of my eye,which he came would go away in 4 months.The YAG treatment didn't do anything for me on my right eye and I refused to have the left eye done ,for fear he would make it worst.So after all of this I am into full time glasses,not what I expected.Mabye the YAG treatment will work for you.
john56935 Shae280
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freeman62151 john56935
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Hi John ,you are correct in saying that YAG treatment is suppose to remove the cloudiness on the back of the lens which I was lead to believe also.The surgeon told me on the follow up checkup the next they after surgery that I was one line away from 20/20 vision,which I felt very impressed with.The next day the cloudiness/blurriness started.I wasn't to concerned at the time thinking it was the steroid drops or the other drops they prescribed for me.after 4 days things were not improving ,so I go back to him again to see what the issue was.He told me that during and after the cataract surgery there was still fragrant left on the outside of the lens ,which migrated to the center of the lens causing the cloudiness. With having the YAG treatment preformed he told me it would clear it up ,but it didn't improve my sight at all ,it's still cloudy and blurry and I see double vision at times.
Sue.An Shae280
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Or was it always blurry?
If always blurry it may have been due to other reasons than PCO. Could be wrong power calculation, astigmatism (cataract surgery itself can cause it even if none present prior to surgery).
Shae280 Sue.An
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After my Mom's Cataract Surgery her vision was clear for a couple of weeks. The doctor said she developed PCO and that it was no problem and that the YAG would correct it. She had laser Cataract Surgery and the astigmatism(she supposedly had) would be corrected with the laser.
I have learned alot from this experience and I now know the doctor is only allowed to charge a Medicare patient if they implant a specialty lens(which she did not get) or say there is an astigmatism(which I do not even know she had for sure). All I care about now is her current vision after the YAG yesterday afternoon.
Guest Shae280
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I know someone who had Yag for PCO after refractive lens exchange (meaning she didn't even have cataracts, but had surgery to remove her eye's natural lens without cataracts and replace it with an artificial lens, same exact procedure as cataract surgery) and wound up with floaters so bad that she had what's called a "floaters-only" vitrectomy in both eyes and that made her vision even worse (the floaters are gone, but it left her with other problems). She's also at risk for retinal detachment after the vitrectomy (done in both eyes).
Guest
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Guest
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So it's possible the blurriness is being caused by remnants of the capsule. I think in that case the yag will have to be done again.
Sue.An Guest
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Guest Sue.An
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You're welcome Sue - and the floaters she got were caused by a PVD (posterior vitreous detachment) in both eyes after the refractive lens exchange and yag. Most people get PVDs by a certain age, but not everyone notices them. Also, you can have a PVD without having had yag and many people get them after cataract surgery.
Guest
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And actually her floaters may have been caused by PVDs in both eyes in addition to the yag itself, I'm not sure.
Guest
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I just found an article "Comparison of two Nd:YAG laser posterior capsulotomy: cruciate pattern vs circular pattern with vitreous strand cutting" where it says the following, so I guess there are trade-offs to both methods since the cruciate method can damage the IOL by causing pitting:
"Several techniques have been described for Nd:YAG laser capsulotomy. The most popular is the cruciate pattern (or cross pattern), which is easy to learn and has a short procedure time[6]. However, the procedure can damage the IOL, involving the visual axis and inducing glare due to the posterior capsule remnant[6]. The circular pattern (or can-opener method) is also a widely used technique, which has the advantage that it does not make IOL pits in the visual axis. However, this procedure can lead to a floating posterior capsule remnant that can cause floaters[6]."
Guest
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And to me, that 25% number can't be right, since from all I have read online after following people's cataract surgery or refractive lens exchange surgery stories, it seems like 90% of them are told they need yag for PCO after, whether their vision is blurry or not, regardless of age (since supposedly the younger you are the more likely you'll get PCO - how about Jillie's mother?). Unless there's some other motive for telling people they need yag....
Sue.An Guest
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I just can’t figure how it can occur with days or weeks of surgery - I would be tempted to wait as it could be other causes.
freeman62151 Sue.An
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Sue.An freeman62151
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