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A posterior capsulotomy is a surgical procedure that involves creating an opening in the posterior capsule of the eye, which is the membrane that encloses the lens. This procedure is usually performed to treat a condition called posterior capsule opacification, which is a common complication of cataract surgery.
During cataract surgery, the eye's natural lens is removed and replaced with an artificial lens implant. However, sometimes the posterior capsule becomes blurry over time, causing obscured vision and other visual discomforts. A posterior capsulotomy uses a laser to create a small opening in the cloudy capsule, allowing light to pass through the lens unobstructed and restoring clear vision.
The procedure is typically performed on an outpatient basis and is considered safe and effective. Patients may experience some mild discomfort or sensitivity to light following the procedure, but these symptoms usually subside within a few days.
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If you are scheduled to undergo a posterior capsulotomy, here is what you can expect before, during, and after the procedure:
Your eye doctor will likely perform a comprehensive eye exam to determine whether the procedure is ideal for you. You may need to stop taking certain medications before the procedure to reduce the risk of bleeding. You may need to arrange for someone to drive you home after the procedure, as your vision may be blurry or distorted for a short period of time.
The procedure is typically performed outpatient, so you will not need to stay overnight in a hospital. You will be given anesthetic eye drops to numb the eye and prevent pain during the procedure. Your eye doctor will use a laser to create a small opening in the posterior capsule of your eye. The procedure usually takes only a few minutes to execute.
You may experience some mild discomfort or sensitivity to light following the procedure. Your vision may be blurry or distorted for a short period of time. You may need eye drops or other medications to prevent infection and reduce inflammation. You will likely need to schedule follow-up appointments with your eye doctor to monitor your progress.
Usually, drops are used to dilate the eye before the surgery. It only takes a few minutes, and there is no discomfort at all. Anti-inflammatory eye drops will most likely be administered. Most people can anticipate an essentially immediate improvement in their vision. You'll need a ride home because the drops will make your vision a little blurry. Within a month, have your vision examined by your regular eye doctor.
The majority of patients can return to their regular activities right away after a posterior capsulotomy, which is a safe and efficient treatment. After a posterior capsulotomy, floaters are possible for a few weeks, but severe consequences are incredibly uncommon. If you have any concerns or questions about the procedure, always make a point to discuss them with your eye doctor.
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