New Technologies and Best Practices for In-Office YAG

Careful patient selection is essential, regardless of the procedure, Nicholas R. Green, OD, MPH, FAAO, said in his session at Optometry’s Meeting 2026.

By: Sarah Fackler, managing editor, Optometric Management

Optometric Management June 18, 2026

Clinical Report: New Technologies and Best Practices for In-Office YAG

Background

The expansion of laser privileges for optometrists in the United States has led to an increased incorporation of in-office laser procedures, including YAG capsulotomy. Understanding the indications and contraindications for these procedures is crucial for optometrists.

Data Highlights

No numerical data provided in the source material.

Key Findings

Approximately half of cataract patients may require YAG capsulotomy due to posterior capsule opacification.
Indications for YAG capsulotomy include symptomatic vision loss, glare, and obscured retinal views.
Contraindications include cystoid macular edema and ongoing anti-VEGF therapy.
Initial laser settings should be adjusted based on opacification density, with specific parameters for posterior and anterior capsulotomies.
Potential complications of YAG capsulotomy include intraocular lens pitting and increased floaters.
Postoperative follow-up is recommended at 1 week or 1 month, depending on steroid prescription.

Clinical Implications

Optometrists should ensure thorough preoperative planning and patient selection to enhance procedural success in YAG capsulotomy. Awareness of potential complications and appropriate postoperative care is essential for optimizing patient outcomes.

Conclusion

Incorporating YAG procedures into optometric practice requires ongoing education and adaptation to new technologies and best practices to ensure effective patient care.

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Optometric Management