In today's video, Dr. Mário Bulla, an ophthalmologist and retina specialist, will talk about cases in which the intraocular lens is cleaned with a YAG laser but vision does not improve.
After performing a capsulotomy with a YAG laser, it is common to expect an improvement in vision. However, when this doesn't happen, several causes may be involved. The procedure itself aims to treat opacification of the posterior capsule, a common complication after cataract surgery. YAG laser capsulotomy is performed to remove this opacity, creating a small cut in the capsule that allows light to pass through, improving vision.
If vision doesn't improve after this procedure, there may be other eye conditions affecting visual quality. Retinal problems, such as macular degeneration, macular edema, or other retinal diseases, may be responsible for the persistence of low visual acuity. Other causes may include advanced glaucoma or even opacification of the implanted intraocular lens.
It is essential to consult an ophthalmologist for a detailed assessment, including specific tests such as optical coherence tomography (OCT), which can accurately identify the underlying cause of low vision. The appropriate treatment will depend on the specific diagnosis, which can range from intravitreal injections for retinal diseases to additional procedures to treat other eye conditions.
The main message here is that if vision does not improve after a YAG laser capsulotomy, it is important to investigate other possible causes for the low vision, as they may often not be directly related to the cataract or the capsulotomy itself.
FAQ: YAG laser capsulotomy and eye health
1. What is YAG laser capsulotomy?
YAG laser capsulotomy is an ophthalmic procedure used to treat opacification of the posterior capsule, a common complication that can occur after cataract surgery. The procedure uses a laser to create an opening in the posterior capsule, allowing light to pass through properly and improve vision.
2. Why might vision not improve after YAG laser capsulotomy?
If vision does not improve after capsulotomy, it may be due to other eye conditions, such as retinal problems (macular degeneration, macular edema), opacification of the intraocular lens or advanced glaucoma. A detailed assessment by an ophthalmologist is important to identify the exact cause.
3. What tests are recommended if vision does not improve after capsulotomy?
In cases where vision does not improve, the ophthalmologist may recommend tests such as optical coherence tomography (OCT) to examine the retina in detail, as well as specific tests to assess the intraocular lens and check for glaucoma or other eye conditions.
4. Can the cataract come back after surgery?
The cataract itself does not come back after surgery. However, opacification of the posterior capsule, treated by YAG laser capsulotomy, is often confused with the return of the cataract due to the similarity in symptoms, such as decreased vision.
5. What is the treatment for other eye diseases that affect vision after capsulotomy?
Treatment varies according to the condition diagnosed. For example, macular degeneration may require intravitreal injections, while advanced glaucoma may require medication or surgery. The treatment plan is personalized based on the patient's specific condition and the ophthalmologist's clinical assessment.
Follow us on instagram: / retina.bulla
This video and its comments are not a substitute for a medical consultation and are for educational purposes only. They should not be used to make decisions, which require a face-to-face consultation with a specialist doctor.
Author:
Dr. Mário César Bulla
Cremers 28120
Ophthalmologist - Retinologist
www.clinicabulla.com.br
www.especialistaemretina.com.br
Instagram: @retina.bulla
Video URL: • Visão ruim após capsul...
@Retina e Vítreo
#retina
#ophthalmology
0:00 I've had a YAG laser and my vision hasn't improved.
0:40 What is posterior capsule opacity?
1:45 Capsulotomy with YAG laser
2:20 Vision didn't improve after capsulotomy
2:58 Causes of low vision after YAG
Негізгі бет Poor vision after capsulotomy with YAG laser
Пікірлер: 42