Shapiro Vision Center

8700 N. Kendall Drive, Miami, FL













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Posterior Capsulotomy

A posterior capsulotomy is a non-invasive laser procedure to eliminate the cloudiness that occasionally interferes with a patient's vision after cataract surgery . In modern cataract surgery, the cataract is removed, but a thin membrane that held the cataract is left in place to hold the implanted artificial lens.Leaving the capsule in place during cataract surgery is a great advancement because it allows the vision after surgery to be more stable and ensures fewer surgical complications. However, sometimes the posterior or back portion of the capsule becomes cloudy over time. This can be resolved with a quick laser procedure.

The capsular bag can become cloudy over time.


A posterior capsulotomy is for those who:

  • have had cataract or crystalens surgery
  • believe that their vision is being affected by cloudiness

What to expect on procedure day:

Once you have been checked-in you will be seated at the laser machine with your chin resting on the laser chinrest. Without the need for any anesthesia, Doctor Shapiro will use a short YAG laser pulse to painlessly create an opening in the center of the cloudy capsule. The opening allows clear passage of the light rays and eliminates the cloudiness that was interfering with your vision.

Opening the bag with the laser allows for clear passage of light rays.


The entire procedure takes only a few seconds and you can leave soon afterward. The results of the procedure are almost immediate, however your vision will probably be a little blurry from the drops so someone will need to drive you home. Doctor Shapiro will prescribe anti-inflammatory drops for you to use for a few days following the procedure. Most patients resume their normal activities immediately.

Realistic expectations:

Serious complications with posterior capsulotomy are extremely rare. It is a safe and effective procedure, but like any medical procedure, it does have some risks. Going to an eye specialist experienced with the procedure can significantly minimize the risks involved with posterior capsulotomy.

If you and your doctor decide that posterior capsulotomy is an option for you, you will be given additional information that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

If you would like more information about this procedure you can make an appointment or contact the office for additional information.

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