YAG laser patients

YAG laser capsulotomy

Getting a Diagnosis 

If you experienced good vision following your cataract surgery, but things have become more blurred, or misty, you could have developed posterior capsule opacification (PCO), a known complication of cataract surgery. This is easily treated with YAG laser treatment. If you are experiencing a reduction in the quality of your vision, please arrange a sight test with your community Optometrist. If they suspect PCO, they can refer you back to us for simple treatment.

Choosing a provider 

As with your cataract surgery, if you live in England, you can choose where to receive your treatment. Just let your optician know which treatment provider you’d like to go to, and then they will send a referral to your chosen provider. If you choose SpaMedica as your provider, please let your optician know which of our hospitals is most convenient for you. You should hear back from your provider within two to three weeks following your referral. 

Information for Patients in Wales

While patients in England are currently able to choose where to have their YAG laser treatment, if you live in Wales, your Local Health Board will make that decision for you. You can find details of your Local Health Board on the NHS Wales website. As all NHS Wales referrals are managed by your Local Health Board, SpaMedica is unfortunately unable to accept direct referrals for treatment from your optician or GP.

Booking an appointment 

Your chosen hospital/provider will contact you by phone or letter to book an appointment. Our SpaMedica referrals team calls each of our patients within 2 to 3 days of receiving your referral. We’ll talk through the next steps with you, answer any questions you may have, and you can choose an appointment date to suit you.

Would you like a chaperone? It’s your choice. This can be a family member, friend or a trained member of staff. Please let us know upon arrival if you would like someone to accompany you for examination or consultation.

Step-by-step guide to your YAG appointment

1. Welcome – You’ll be greeted and signed in by a friendly member of our reception team, who will then guide you to the assessment clinic and help you get settled. 
2. Vision test – The first test we conduct is to check your vision. This is done using a chart, the same as used in opticians, where we ask you to read letters from the top line downwards on the chart. 
3. Eye pressure – This is conducted using a handheld meter, which gently touches the surface of the eye and provides a digital readout of the pressure in the eye. 
4. Eye diagnostics – We run a diagnostic test that takes a magnified colour photo of your eye and check the general health of your eyes. 
5. Pupils dilated – Drops are placed in each eye to dilate the pupils (this makes your pupils larger, so we can examine the eye). It usually takes about 30 to 40 minutes for your pupils to dilate and then we can examine your eyes. Dilating your pupils affects your vision and sensitivity to light for up to six hours, so you will not be able to drive yourself home after the appointment.
6. Optometrist check – All your test results are checked and analysed by a SpaMedica optometrist (eye healthcare specialist). They check to make sure that YAG Capsulotomy is suitable for you and will discuss the benefits and risks of the treatment. If both your eyes require treatment, the optometrist will talk about which eye we would recommend is treated first. This is usually the eye with the worst vision, but the optometrist will discuss this fully with you to find out the best option for you. 
7. Consent – We take time to discuss with each of our patients the details of your YAG Capsulotomy procedure, the benefits that you should get from the treatment and also the risks. We’ll check that you understand everything and ask you to sign a consent form, which lets us know you give your permission for the treatment to go ahead. Please let us know if you have a lasting power of attorney (LPA) or require support for giving consent. 
8. Booking your treatment date – The final stage of your appointment is to book a date for your YAG Capsulotomy. Our receptionist will give you available dates and you can choose a time and date to suit you. 

Step-by-step guide to your YAG laser treatment

All the SpaMedica team are here to support you, make you feel at ease and make your time with us as stress-free as possible. 

1. Welcome – You’ll be greeted and signed in by a friendly member of our reception team who will then show you to the assessment clinic and help you get settled.

2. Arranging pick up – If someone isn’t already waiting for you in our reception area, our reception team will ask for the contact details of the person who will be picking you up after your treatment and we will give them a ring when you’re ready to go home.  

3. Admission for treatment – Prior to your treatment, you will have dilation drops in the eye being treated, documents checked and your eye marked to indicate which eye is being treated. This is a standard safety check in all NHS practice.

4. Clinic reception – We’ll ask you to wait in the clinic reception while we’re waiting for your pupils to dilate, which usually takes about 20 to 30 minutes.  

5. Your treatment: 

• You will be called through to the treatment room once your pupils are dilated. 
• The treatment will be performed by one of our experienced optometrists or specialty doctors, who will welcome you and explain the next steps. 
• You will be sat in a chair. The optometrist/doctor will ask you to rest your chin on a bar. This is a similar position to the one you will have been in when you had your eyes checked at the opticians. 
•  You will look straightforward and see a bright light. 
•  The optometrist/doctor will deliver a burst of laser to the centre of your pupil – this usually takes no more than a few minutes. 
•  Treatment all done – take a deep breath and smile! 

6. Time to go home – we’ll call the contact you gave us to organise a lift home, if they’re not already waiting for you in the reception area.