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Given that cataract surgery is in most cases an outpatient
procedure, patients are sent home shortly afterward and given
instructions for using eyedrops to prevent infections and
inflammation. If an injection was used to numb the eye for
surgery, a patch may be required during the first night. A
doctor or an assistant will check the eye the next morning.
Vision may be blurry for 24 to 48 hours after surgery. Glasses
are usually prescribed several weeks after surgery when the
eye has healed.
YAG Capsulotomy
The capsule that is intentionally left in the eye to support
the IOL may become cloudy as part of the normal healing process
after cataract surgery. This condition is called "posterior
capsule opacification" or "after-cataract,"
and it can reduce vision if it becomes dense enough.
When vision falls because of posterior capsule
opacification, a small opening can be made in the capsule
behind the IOL with a YAG laser, which is named for the material
used to generate the laser energy (yttrium-aluminum-garnet).
Energy from the YAG laser can be precisely delivered
to the capsule behind the IOL. It passes through the cornea
and the IOL, without damaging them, and it is focused on the
capsule that the surgeon can see with a slitlamp behind the
IOL. The procedure is performed at a modified slitlamp in
the surgeon's office.
A YAG capsulotomy is quick and painless.
When it was invented two decades ago, it was a major surgical
advance that allowed ophthalmologists to remove scar tissue
from the capsule without returning to the operating room.
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