Laser Posterior Capsulotomy Research Articles

Effect on IOP Following ND: YAG Laser Posterior Capsulotomy

Purpose: To study the effect on IOP following Nd: YAG Laser Posterior Capsulotomy. Methods: In this prospective study, patients with PCO following a cataract surgery visiting Out Patient Department (OPD) of Government Medical College, Srinagar from September 2020 to September 2021 underwent Nd: YAG Laser Posterior Capsulotomy and were evaluated to study the IOP changes. Results: 52 patients were evaluated. The mean age of patients was 59.5±8.16 years.. Males were 55.4% and females 44.6%. The mean pre-laser IOP level was 14.27 mmHg which increased to 16.48 mmHg after 1 week and decreased back to 14.73 mmHg after 6 months. The comparison between pre-laser and post-laser 6 months IOP levels was statistically insignificant

Central Macular Thickness Changes Following Laser Posterior Capsulotomy Measured By Optical Coherence Tomography

Central Macular Thickness Changes Following Laser Posterior Capsulotomy Measured By Optical Coherence Tomography

Lacteocrumenasia

Capsular bag distension syndrome (CBDS) is a rare complication of cataract surgery characterized by collection of turbid fluid between the posterior surface of the intraocular lens (IOL) and the posterior capsule. Here, we report a case of CBDS presenting 7 years after uneventful cataract surgery. Patient presented with blurring of vision in the right eye and his best corrected visual acuity (BCVA) was 6/9 N6. Slit lamp examination showed collection of turbid fluid between IOL and posterior capsule, and the opaque fibrosed capsulorhexis margin was adherent to the optic of IOL which was well placed within the bag. Patient underwent neodymium yttrium aluminium garnet (ND-YAG) laser posterior capsulotomy to release the fluid into the vitreous cavity. 6 weeks after the procedure his BCVA improved to 6/6 N6.

Rise Of Intraocular Pressure After Nd: YAG Laser Capsulotomy

Objective: Posterior capsule opacification (PCO) after cataract is a common complication of extra capsular cataract extraction with or without intraocular lens implantation. Aim of this study was to evaluate changes in intraocular pressure after Nd-Yag laser posterior capsulotomy for PCO.
 Methodology: This retrospective study using convenient sampling technique was done at Eye Department of Shaheed Mohtarma Benazir BhuttoMedical College Lyari, Sindh Government General Hospital, Karachi for six months (1st January 2020 to 30th June 2020. After ethical approval and informed permission from patients and guardian, data was collected and analyzed by SPSS version 20 and presented by calculating mean and standard deviation for quantitative data and frequency and percentages for qualitative data.
 Results: Total 50 patients (20 males and 30 females) were studied where 22 right and 28 left eyes. Mean age was 59.08 years. Mean pre-operative IOP was 13.28 and 13.12 mmHg of right and left eye respectively (Table I). At 2 hours mean IOP was 16.84±3.63 mmHg and after one week 12.48±2.0 mmHg. Base line pre-laser IOP was measured by Goldman Applanation Tonometer (GAT) and slit lamp examination. Pupils were dilated using 1% tropicamide eye drops. IOP was evaluated immediate post-procedure, two hours post–procedure and one week from date of laser.
 Conclusion: Nd –Yag laser capsulotomy is treatment of choice for PCO and associated with complications like Raised Intraocular Pressure (IOP), Intraocular lens pitting, cystoid macular oedema, retinal detachment. Raised IOP is most common complication and prescribing anti-glaucoma drugs in order to decrease intraocular pressure.

The prophylactic effect of betaxolol 0.5% versus brimonidine 0.2% on IOP elevation after Nd:YAG laser posterior capsulotomy

ABSTRACT Clinical relevance Posterior capsule opacification is a common late complication of cataract surgery. Posterior capsule opening with Nd:YAG laser, which is the standard treatment, may cause transient elevation of intraocular pressure (IOP). Background To evaluate the efficacy of betaxolol 0.‌5% compared to brimonidine 0.2%, in prevention of intraocular pressure increase after Nd:YAG Laser posterior capsulotomy. Methods In a double masked randomised clinical trial, 38 eyes from 38 pseudophakic patients over 21 years of age who had significant posterior capsule opacification after phacoemulsification were randomly assigned to receive either betaxolol 0.‌5% (18 eyes) or brimonidine 0.‌2% (20 eyes) one hour before Nd:YAG Laser posterior capsulotomy.‌ Exclusion criteria were: glaucoma or history of glaucoma surgery, active uveitis, active ocular infection, pregnancy, unstable cardiovascular condition and severe asthma and lung diseases. Intraocular pressure was measured by Goldmann applanation tonometry, 1 hour before applying the laser and 4 hours after the laser application. Results There was no statistically significant difference between the two groups regarding the baseline mean IOP and the 4-hour post-laser mean IOP. There was a statistically significant decrease in the 4-hour post-laser mean IOP as compared to the baseline mean IOP in each group. The mean IOP change in the betaxolol group, was −2.39 ± 1.79 mm Hg and in the brimonidine group was −4.25 ± 2.20 mm Hg. The difference was statistically significant (P = 0.007). None of the patients experienced clinically significant IOP increase (≥5 mm Hg) in either group. Conclusion Use of a single topical dose of betaxolol 0.5% and brimonidine 0.2%, 1 hour before laser treatment, can prevent significant acute IOP increase after Nd:YAG laser posterior capsulotomy, and betaxolol may provide a new alternative for prophylactic use.

A Clinical Study of Visual Outcome after Nd YAG Laser Capsulotomy

Introduction: Posterior capsular opacification is caused by migration and proliferation of cuboidal epithelium from remnant of anterior capsule and equatorial part of the lens capsule. Posterior capsular opacification also called after cataract is a nagging post surgical complication following phacoemulsification or non phaco cataract surgery (small incision cataract surgery or conventional cataract surgery) ECCE with posterior chamber intraocular lens implantation. Posterior capsular opacification is actually misnomer. Though there are many factors suggested to reduced posterior capsular opacification. The incidence of PCO still exists considerably. Aims and Objective are to find out the visual improvement after Nd yag laser posterior capsulotomy. Materials and Methods: The prospective study was conducted in the department of ophthalmology of Ad-din Women Medical College Hospital, Dhaka, Bangladesh from June 2014 to June 2018. 175 patients of 189 eyes with significant PCO. Before laser capsulotomy all patients were assess by routine slit lamp examination, IOP measurement and posterior segment examination done for every patient for exclusion of Gross posterior segment pathology. Results: The study had female preponderance (58.86%). Most of the patients 165 were 40 to 80 years old (87.31%). The patients had pre laser visual acuity 6/9 to 6/18 (31.75%) 6/24 to <6/60 (68.25%). After laser capsulotomy functional visual acuity upto 6/8 were 169 (89.42%) and 6/24 to <6/60 were 20 (10.58%). The mean pre and post laser capsulotomy visual functional score were 54.45±36.44 and 94.16±50.36 respectively. Conclusion: Nd YAG laser capsulotomy is safe, non-invasive and effective procedure. Medicine Today 2021 Vol.33(2): 98-101

Effect of Neodymium: Yttrium-Aluminium-Garnet Laser Posterior capsulotomy on refractive status of the Eye

Objective: To assess the effect of Neodymium: Yttrium-Aluminium (Nd: YAG) laser posterior capsulotomy on the refractive status of the eye.Study Design: Quasi-experimental.Setting: Outpatient department of Benazir Bhutto Hospital, Rawalpindi.Duration: 1st January 2017 to 30th June 2017.Materials and Methods: A total of 95 eyes of 95 patients were included in this study. The patients were selected based on non - randomized convenient sampling. Among these patients 49 were females and 46 were males. The age range was 43 years to 85 years. These patients were those who had undergone uncomplicated cataract surgery with intraocular lens implantation 6 months or more than 6 months before presentation with posterior capsular opacification. Before Nd: YAG laser posterior capsulotomy, complete anterior and posterior segment examinations of these patients was performed and they were found to have no other associated anterior or posterior segment pathologies. Autorefractometre reading and best-corrected visual acuity were recorded and then after dilating the pupils, the procedure was performed. Post YAG capsulotomy, Autorefractometre readings were recorded again on the same day, at 1 week and the end of 4 weeks. Readings at the end of 4 weeks were considered for result purposes. These readings were converted into spherical equivalents for data analysis. Results: Data was analyzed through the SPSS version 18. The mean age was 60.14 years with a standard deviation of 9.241. Spherical equivalents were compared before and after YAG capsulotomy. Wilcoxon signed ranks test was applied. P-value (0.70) was found to be statistically insignificant which supported our hypothesis. Conclusion: Nd: YAG laser capsulotomy does not change the refractive status of the eye.

Effects of Neodymium-Doped Yttrium Aluminium Garnet (Nd:YAG) Laser Capsulotomy on Visual Outcomes From a Lower-Middle Income Country.

ObjectiveNeodymium-doped yttrium aluminium garnet (Nd: YAG) laser is a non-invasive and effective means to deal with posterior capsule opacification. Although it is safe, it may have some complications. The purpose of this study was to evaluate the efficacy of Nd: YAG laser capsulotomy in terms of visual outcomes.MethodologyThis retrospective study was carried out at the eye department of Shaheed Mohtarma Benazir Bhutto Medical College, Lyari and Sindh Government Lyari General Hospital, Karachi, by using a convenient sampling technique. The duration of the study was six months from 1st January 2020 to 30th June 2020. 50 eyes of patients older than 20 years of age of either gender with posterior capsule opacification after cataract surgery for more than 6 months of duration, capsular fibrosis, and visual distortion due to wrinkling were included in the study. ResultsOur results show that in a total of 50 patients, the mean age was 59.08±5.84 years, of which, 20 (40%) were males. Out of 50 patients, 22 right while 28 left eyes were selected for Nd: YAG laser capsulotomy. None of the patients showed elevated intraocular pressure (IOP) after the 1st week. Mean IOP was 16.84±3.63 mm of Hg on the 1st day and mean IOP after 1st week was 12.48±2.01 mm of Hg. Iritis was observed in 5 (10.0%) patients on the 1st day and 4 (8.0%) patients on the 1st week. Raised IOP was observed in 10 (20.0%) cases whereas cystoid macular edema was observed in only 1 (2%) patients on the 1st day and 1st week after laser therapy.ConclusionThe study predicted that Nd: Yag laser posterior capsulotomy gives excellent results in terms of visual acuity. Complications that were associated with the Nd: Yag laser capsulotomy was a rise in intraocular pressure, cystoid macular edema, iritis, and IOL pitting.

One-year multicenter evaluation of a new hydrophobic acrylic intraocular lens with hydroxyethyl methacrylate in an automated preloaded delivery system.

To assess a single-piece monofocal hydrophobic acrylic intraocular lens (IOL) with hydroxyethyl methacrylate (HEMA) (Clareon) contained in automated preloaded delivery system (AutonoMe). 18 surgical sites in Japan. Observational study. In patients undergoing phacoemulsification and IOL implantation of a new hydrophobic acrylic IOL using an automated injector, clinical data were collected preoperatively and at 1 day, 1 week, and 1 month, 6 months, and 12 months postoperatively. The degree of glistenings was graded on a 4-point scale. The surgeons rated usability and performance of the IOL delivery system on a 5-point scale. The study enrolled 384 eyes of 384 patients, ranging in age from 41 to 93 (73.8 ± 8.2, mean ± SD) years. The percentage of eyes with corrected distance visual acuity of 20/25 or better at 1 day, 1 week, and 1 month, 6 months, and 12 months postoperatively was 82.6%, 91.9%, 92.8%, 96.6%, and 95.2%, respectively. Refractive error was within 1.0 diopter in approximately 90% of cases. No glistenings were found in all cases throughout the study period. The rate of Nd:YAG laser posterior capsulotomy was 0.9% at 1 year. The IOL delivery system received high ratings on its usability and performance by the surgeons. The new hydrophobic acrylic IOL with HEMA showed excellent visual and refractive outcomes without developing glistenings throughout the 1-year study period. The surgeons gave high marks for usability and performance of the automated preloaded delivery system.

English

BACKGROUND Posterior capsule opacification (PCO) is the most common delayed complication of cataract surgery. Nd:YAG (Neodymium yttrium aluminium garnet) laser posterior capsulotomy presents the advantages of a non-invasive, effective, relatively safe technique to manage intact posterior capsule that opacifies postoperatively. With this background we want to study the visual outcome and complications following Nd-YAG laser posterior capsulotomy in posterior capsular opacification following small incision cataract surgery (SICS). METHODS The study includes 64 patients attending outpatient department of a tertiary eye care hospital at Latur from June 2018 to May 2019 who have undergone SICS with PMMA PC IOL (polymethyl methacrylate posterior chamber intraocular lens) implantation and clinically diagnosed with posterior capsular opacification. 64 eyes with PCO were subjected to Nd:YAG laser posterior capsulotomy after detailed slit lamp bio microscopic examination pre- and post-capsulotomy. Follow-up was done at 1 hour, 1 week, 2 weeks and 4 weeks and patients were examined for visual outcome and any complications at each visit. RESULTS There were 16 males (25 %) and 48 females (75 %) with a mean age of 65 years. Posterior capsule opacification occurs within 3 years accounting for 46.9 % of the cases. Elschnig pearls type of PCO was more common when compared to fibrous type of PCO. Best corrected visual acuity (BCVA) before Nd:YAG laser capsulotomy was less than 6 / 60 in 35 patients (54.7 %) and within 6 / 60 to 6 / 24 in 23 patients (35. 9 %) with 6 patients (9.4 %) accounting for visual acuity between 6 / 24 to 6 / 18. After Nd - YAG Laser Capsulotomy, 46.9 % gained best corrected visual acuity of 6 / 18 or better, 39.1 % cases improved 6 / 12 and better and BCVA of 6 / 9, 6 / 6 was observed in 11 cases and 1 case respectively. Only 12 out of 64 patients had complications. Raised intraocular pressure (IOP) was found in 4 patients. Intraocular lens (IOL) pitting was found in 8 patients. CONCLUSIONS Nd:YAG laser capsulotomy is a safe, effective and a non-invasive procedure which avoids all the complications of surgical capsulotomy in patients of posterior capsule opacification. KEYWORDS Posterior capsule opacification (PCO), Nd:Yag Laser Capsulotomy, Best Corrected Visual Acuity (BCVA), Central Subfield Macular Thickness (CSMT)

Refractive Changes After YAG laser Capsulotomy In Pseudophakic Patients

Background: The aim of our study was to evaluate the effect of Nd:YAG laser posterior capsulotomy on patient’s refractive status .Methods: a retrospective study that involved 30 eyes (of 30 patient) treated with Nd:YAG laser capsulotomy due to posterior capsular opacification after uncomplicated phacoemulsification surgery and intraocular lens implantation. Complete ocular examinations were done for all patients before and after YAG capsulotomy. The best corrected visual acuity , sphere and cylinder were obtained before capsulotomy ,one week and one month after capsulotomy and changes were investigated. Data was analyzed statistically. Results: It was found that The mean refractive sphere shift towards myopic changing , The mean refractive cylinder changes towards hyperopic shift , there were no statistical significance of any change in axis of the cylinder .Conclusion: Statistical significant improvement in BCVA after Nd:YAG laser capsulotomy, so Nd:YAG is an effective instrument used in non-invasive treatment of posterior capsular opacification.Keywords Refractive changes after YAG laser capsulotomy in pseudophakic patients .

Short-Term Anterior Segment Changes After Nd-YAG Laser Posterior Capsulotomy in Pseudophakic Eyes with Fuchs' Endothelial Dystrophy.

PurposeTo describe the changes in the central corneal thickness (CCT), endothelial cell count (ECC), intraocular lens (IOL) position, and refractive error 1 and 3 months after Nd-YAG laser posterior capsulotomy (YAG-PC) for posterior capsular opacification (PCO) in pseudophakic eyes with Fuchs’ endothelial cell dystrophy (FECD).DesignProspective case-control.ParticipantsFifty pseudophakic eyes of 50 patients with visually significant PCO (25 with healthy corneas, and 25 with FECD grade 1 and 2).MethodsFECD was clinically graded, and only patients without clinically evident corneal edema were included in the study (grade 1 and 2). All patients received YAG-PC and were followed up after 1 and 3 months. Best-corrected visual acuity, refractive errors, ACD, CCT, and ECC were assessed and compared between the pre-laser values and that of the 2 follow-up visits.ResultsIn both groups, BCVA showed significant improvement (P<0.05). Compared to healthy controls, a significant hyperopic shift was observed in the FECD eyes at the 2 follow-up visits (P=0.027, and 0.019). A significant backward movement of the IOL was observed in the FECD eyes in the 2 follow-up visits (P=0.043, and 0.02). There was a significant correlation between the hyperopic shift in the FECD eyes and the ACD deepening during the 1st month (R= −0.6, P=0.001) and 3rd month (R= −0.4, P=0.04). Significant drop in the ECC was noted in both groups but without significant increase in the CCT.ConclusionCompared to controls, a hyperopic shift and backward movement of the IOL were observed in the FECD eyes after YAG-PC. No significant corneal thickening was found in both groups despite the significant drop in the ECC. Future studies are required to confirm our results and monitor the long-term changes after YAG-PC in FECD.

Influence of the “Inverted U Method” Nd: YAG Laser Posterior Capsulotomy on Anterior Segment Parameters, Decentration and Tilt of Intraocular Lens in Patients after Phaco-vitrectomy

ABSTRACT Purpose To investigate the effects of the “inverted U method” Nd:YAG laser posterior capsulotomy on anterior segment parameters, decentration and tilt of intraocular lens (IOLs) and visual acuity in posterior capsular opacification (PCO) patients after combined phaco-vitrectomy. Methods Seventy-six patients (76 eyes) were enrolled in this study, who were diagnosed as PCO and underwent “inverted U method” Nd:YAG laser posterior capsulotomy. All patients had undergone previous combined phaco-vitrectomy for rhegmatogenous retinal detachment. The parameters including IOL decentration, angle of IOL tilt, anterior chamber angle (ACA), anterior chamber depth (ACD), anterior chamber volume (ACV), central corneal thickness (CCT), keratometry, pupil size, axial length (AL), intraocular pressure (IOP), refractive status, corrected distance visual acuity (CDVA), objective scattering index (OSI) and Chinese version of Visual Function 14 (VF-14) index were obtained before and 3 months after capsulotomy. Results After capsulotomy, the tilt angle and decentration of the IOLs at both vertical (tilt: p = .004, decentration: p = .029) and horizontal meridian (tilt: p = .001, decentration: p = .017) were significantly decreased, ACA increased (p = .015), CDVA (p = .000), VF-14 score (p = .000) and OSI (p = .000) were significantly improved. There were a significant decrease in cylindrical error (p = .001) and a myopic shift in spherical error (p = .001) after the capsulotomy. No significant differences in ACD, ACV, CCT, keratometry, pupil size, AL and IOP were detected (p > .05 for all). Conclusion The “inverted U method” Nd: YAG laser posterior capsulotomy decreases tilt and decentration of the IOL, increases ACA and causes no change in ACD, ACV, CCT and IOP in patients after phaco-vitrectomy. These changes make a decrease in cylindrical error and a myopic shift in spherical error. Laser capsulotomy significantly improves visual acuity.

The effect of Nd

Background Regarding the Nd : YAG laser capsulotomy, various complications were reported, such as intraocular lens dislocation, cystoid macular edema, and rise in the intraocular pressure (IOP). The influence of capsulotomy size on the spherical equivalent (S/E), IOP, and the central macular thickness (CMT) after the procedure is controversial. Therefore, carrying out a capsulotomy opening with optimum size and site is slightly challenging. Aim The study aimed to evaluate the influence of the Nd : YAG laser posterior capsulotomy size on S/E, IOP, and CMT. Patients and methods A total of 40 pseudophakic eyes of 40 patients treated with Nd : YAG laser capsulotomy for posterior capsular opacification were evaluated preoperatively and 1, 4, and 12 weeks after the procedure. The patients were divided into two groups based on the postprocedural size of the capsulotomy opening. The two groups were studied based on the changes in the S/E, best-corrected visual acuity, IOP, and CMT after the capsulotomy. Results There was a statistically significant and stable improvement in the best-corrected visual acuity after the procedure in the two groups over the whole period of follow-up (P&lt;0.001). There was no statistically significant change in the S/E and CMT in both groups after the procedure. However, there was a statistically significant increase of the IOP, but within normal limits, at the second visit (1 week after capsulotomy) in the two groups (P&lt;0.001). Conclusion The Nd : YAG laser posterior capsulotomy is a safe and effective procedure to treat the posterior capsular opacification. The study found no significant change in the refraction, no serious elevation in the IOP, and no significant increase in the CMT over the short-term follow-up in the two groups.

Evaluation of change in intraocular pressure and macular thickness after Nd: YAG laser posterior capsulotomy

Purpose: To evaluate the changes in intraocular pressure and macular thickness after Nd: Yag laser posterior capsulotomy. Methodology: This prospective study included 91 eyes of 78 patients who were diagnosed as posterior capsule opacification (PCO), following uncomplicated cataract surgery. All the patients were examined preoperatively and 1 hour post-procedure, 1 week and 4 weeks after Nd: YAG capsulotomy. IOP and macular thickness of all the patients was measured by Goldmann applanation tonometry and optical coherence tomography (OCT), respectively before performing the procedure and at subsequent visits. Patients were divided into two groups based on energy used (Group I ≤50 mJ, Group II >50 mJ). None of the patients received prophylactic antiglaucoma medications either before or after the procedure. Results: There were 42 males and 36 female patients included in the study. Mean age of the patients was 53.87 ± 10.24 years (45-80 years). Mean total energy levels were 38.64±13.92 mJ in Group I and 85.76±22.10 mJ in Group II. In Group I, IOP did not increase at 1 hour postoperatively (P=0.063) and was within normal limits at 1 week and 4 weeks. In Group II, IOP increased at 1 hour postoperatively (P

An Evaluation of Best Corrected Visual Outcome (BCVA) after Nd-YAG Laser Posterior Capsulotomy in Patients of Posterior Capsular Opacification (PCO): A Prospective, Single Centre, Observational Study

An Evaluation of Best Corrected Visual Outcome (BCVA) after Nd-YAG Laser Posterior Capsulotomy in Patients of Posterior Capsular Opacification (PCO): A Prospective, Single Centre, Observational Study

Clinical superiority of either of topical 0.5% apraclonidine, 0.2% brimonidine and 0.03% bimatoprost given prophylactically in managing intraocular pressure spikes following Nd:YAG laser posterior capsulotomy

Background: Extracapsular cataract extraction (ECCE) with implantation of posterior chamber intraocular lens (PC IOL) is currently the surgery of choice for cataract, with the success rate of over 95%. Objectives: To earmark clinical superiority of either of the drugs given prophylactically in managing intraocular pressure spikes following Nd:YAG laser posterior capsulotomy. Method: The present study was conducted on 100 patients, who had developed posterior capsule opacification following successful cataract surgery with intraocular lens implantation and underwent Nd:YAG laser posterior capsulotomy in the Outpatient Department of Ophthalmology, RMCH. Results: In Apraclonidine group, pressure differences with control group were evident at 3 hours (ΔP3) & at 24 hours (ΔP24) that were highly statistically significant; (p=0.0078 & 0.0045 for ΔP3 & ΔP24 respectively). The same were not significantly different (p> 0.05) at 1 hour or day 7 following laser application. The Briminodine group demonstrated significant differences in pressure fluctuations compared with control group at all recorded times with maximum variation noted at 3 hours post capsulotomy (p=0.000015). Conclusion: It was concluded Both Apraclonidine & Briminodine are found useful drug interventions in laser therapy, but Briminodine clearly scores over former in dampening the IOP rise.

An uncommon complication from a common procedure

The study aims to highlight the importance of appropriate sizing of yttrium-aluminum-garnet (YAG)–capsulotomy. We report a case of a patient who developed sudden loss of vision, due to an unprecedented posterior dislocation of the posterior chamber intraocular lens, following an apparently uncomplicated YAG laser capsulotomy for a posterior capsular opacification (PCO), which was restored to complete visual recovery. We also stress the importance of appropriate size of the YAG openings. Although neodymium: YAG laser posterior capsulotomy is a safe procedure for treating PCO, it is not free from complications. Limiting the size of the YAG opening to meet the basic requirements is necessary.

Effect of Quantum of Energy used During Nd:YAG Laser Posterior Capsulotomy on Magnitude of IOP Rise

Effect of Quantum of Energy used During Nd:YAG Laser Posterior Capsulotomy on Magnitude of IOP Rise

Intraocular Lens Power, Myopia, and the Risk of Nd:YAG Capsulotomy after 15,375 Cataract Surgeries.

The present study estimated the 5-year cumulative probability of Nd:YAG laser posterior capsulotomy according to the diopter power of implanted hydrophobic acrylic intraocular lenses (IOLs). Data were retrospectively collected of 15,375 eyes having cataract surgery and in-the-bag implantation of hydrophobic acrylic monofocal IOLs at the Ophthalmology Unit of Kymenlaakso Central Hospital, Kotka, Finland between the years 2007 and 2016. The cumulative probability of Nd:YAG capsulotomy was calculated by Kaplan–Meier estimates, and potential risk factors were analyzed using the Cox proportional hazards model. The 5-year cumulative probability of Nd:YAG capsulotomy after cataract surgery was 27.4% (95% confidence interval (CI) 22.9–32.6%) for low-diopter (5–16.5 D) IOLs, 14.6% (13.8–15.5%) for mid-diopter (17–24.5 D) IOLs, and 13.6% (11.7–15.6%) for high-diopter (25–30 D) IOLs. A multivariate Cox regression analysis showed that low-diopter IOLs (HR 1.76; 95% CI 1.38–2.25; p < 0.001) were associated with an increased risk of Nd:YAG capsulotomy compared to mid-diopter IOLs over the follow-up period after accounting for other predictors. Real-world evidence shows that low-diopter IOLs are associated with significantly higher risk of Nd:YAG capsulotomy within five years following implantation. Estimation should help in evaluating the risks of cataract surgery in myopic eyes.