Eileen Marie Wayne, M.D.
Board Certified Eye Surgeon
1302 7th Street
Moline, IL 61265
(309) 736-0808
Fax (309) 736-0909
http://www.InformedConsent.org


Informed Permission for a YAG Laser Capsulotomy After Cataract Surgery

Procedure 66821
YAG Laser Capsulotomy

Diagnosis 366.53
A secondary (after) cataract obscures vision because of a clouding of the Yolk SAC (capsule/bag/scar tissue) that holds your implant in place.

Reason
During your original cataract procedure, the cloudy cataract YOLK was removed. Your clear cataract yolk SAC was kept in place to receive and hold your implant. The SAC shrink-wraps around your implant and holds it in place without stitches. The SAC can, over time, become milky and interfere with your vision. A Yag laser beam of light makes an opening in the center of the SAC, improving your vision. The remaining part of the SAC, like a donut with a hole, continues to hold your implant securely in place. You feel nothing during the laser procedure because, like your hair and fingernails, the SAC tissue has no sensation.

Risk
The YAG procedure can change the focus of your eye, requiring a change in glasses. Also, the laser can make a mark on the implant. The laser mark usually does not interfere with vision. Sometimes there may be a temporary increase in eye pressure or there may be temporary swelling of the retina requiring eye drop treatment. The YAG procedure can lead to a detached retina in persons with weak retinas. This can be minimized by finding and treating the weak areas of the retina preventing the detachment.

Benefit & Probability of Success
The majority of people with a healthy retina experience improved vision after a necessary Yag Laser Capsulotomy procedure for a secondary cataract.

I have received a copy of this informed permission information to take home and keep and had the opportunity to ask questions.

Signature:___________________________ Right ________ Left ___________

Witness:_____________________________Date_________ Date___________

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