Objective:

To discuss the integration of in-office laser procedures, particularly YAG capsulotomy, into optometric practice as presented by Nicholas R. Green, OD, MPH, FAAO, at Optometry’s Meeting 2026.

Approach:

Key Findings:

• Approximately half of cataract patients may require YAG capsulotomy.
• Indications for YAG capsulotomy include symptomatic vision loss, glare, refractive shifts in pseudoaccommodating intraocular lenses, and obscured retinal views.
• Contraindications include cystoid macular edema, high risk of retinal detachment, calcified intraocular lenses, and ongoing anti-VEGF therapy.
• Patient selection is crucial for procedural success.

Interpretation:

Staying informed about evolving technologies and best practices is essential for optometrists performing laser procedures.

Limitations:

• The article does not provide specific data on the success rates of YAG capsulotomy.
• No detailed information on the long-term outcomes of the described techniques.

Conclusion:

Optometrists should remain updated on best practices and emerging technologies in laser procedures.

Sources:

• Clinical Pearls for YAG Capsulotomy
Source

Based on findings from:

New Technologies and Best Practices for In-Office YAG

Sarah Fackler, managing editor, Optometric Management. Optometric Management, 2026.

https://www.optometricmanagement.com/issues/2026/american-optometric-association-annual-meeting/new-technologies-and-best-practices-for-inofficeyag

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