For patients with Light Adjustable Lenses, what has been your approach regarding YAG capsulotomy timing?

It is best to avoid performing a YAG capsulotomy before or during the light-adjustment period unless the posterior capsule opacification (PCO) is visually significant and functionally limiting. Although the YAG laser itself is safe and effective regardless of its timing relative to lens lock-in, several important considerations should be kept in mind:

1. Patients selecting the Light Adjustable Lens (LAL) typically aim for the best possible visual outcome. In the rare case of suboptimal satisfactio...

I would wait at least a month after cataract surgery to consider a YAG capsulotomy. I would only do a YAG capsulotomy before the light treatments if the capsule is causing a significant media-opacity effect or clinically deemed to cause unstable refractions. We did publish on the safety and refractive effects of YAG capsulotomy, both before and after light treatments. (Abing et al., PMID 39885653)