Nd:YAG Laser Capsulotomy: Efficacy and Outcomes Performed by Optometrists

Optom Vis Sci. 2023 Oct 1;100(10):665-669. doi: 10.1097/OPX.0000000000002057. Epub 2023 Aug 8.

Abstract

Significance: An increasing number of optometrists are performing Nd:YAG laser capsulotomy procedures; however, there is limited published information on the outcomes of these procedures.

Purpose: This study aimed to assess the efficacy and safety of capsulotomy procedures performed by optometrists.

Methods: Subjects diagnosed with posterior capsule opacification causing reduced vision and subjective visual complaints were recruited for this study. A baseline examination was performed to ensure that the subjects met all the necessary criteria. The procedure was performed by a licensed doctor of optometry at six different clinics, and each subject was monitored for visual outcome and any potential complications.

Results: Subjects' Snellen visual acuity improved from an average of 20/40 to 20/23 ( P < .001) with no complications of increased intraocular pressure, inflammation, visually significant lens pitting, macular edema, or retinal detachment. Of 78 subjects who responded to a post-procedure survey, 77 (99%) reported subjective improvement in vision after capsulotomy.

Conclusions: Based on the outcomes of this study, YAG laser capsulotomies are effective treatments to improve patient vision that can be safely and effectively performed by optometrists.

MeSH terms

  • Humans
  • Laser Therapy*
  • Lasers, Solid-State* / therapeutic use
  • Lens Capsule, Crystalline* / surgery
  • Optometrists*
  • Postoperative Complications / epidemiology